ILENE A BALOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095032

License Status

NOT RENEWED

Business

First Name

ILENE A

Last Name

BALOG

Business Name

ILENE A BALOG

Original Issue Date

11/30/1959

Effective Date

11/30/1959

City

ATTLEBORO

State

Zip

02703

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/27/2006