MATTIE B BALLARD - Registered Nurse License in Illinois | # 041078207

MATTIE B BALLARD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041078207

License Status

INACTIVE

Business

N

First Name

MATTIE B

Last Name

BALLARD

Business Name

MATTIE B BALLARD

Original Issue Date

06/15/1954

Effective Date

06/15/1954

Expiration Date

05/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006