The holder whose full name is CORNILLEZ, PACITA BALITE,come from FOREST PARK IL,hold the Registered Nurse license(NO.28056509A) which status is Expired.
| Name | CORNILLEZ, PACITA BALITE |
|---|---|
| License Number | 28056509A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FOREST PARK |
| State | IL |