NICOLE TAYE BALTAZAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486747

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

TAYE

Last Name

BALTAZAR

Business Name

NICOLE TAYE BALTAZAR

Original Issue Date

10/16/2019

Effective Date

10/13/2020

Expiration Date

08/31/2022

City

BROWNS SUMMIT

State

Zip

27214

Ever Disciplined

LastModifiedDate

10/14/2022