ROBERTA L BALLARD - Registered Nurse License in Illinois | # 041116801

ROBERTA L BALLARD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116801

License Status

INACTIVE

Business

N

First Name

ROBERTA L

Last Name

BALLARD

Business Name

ROBERTA L BALLARD

Original Issue Date

02/16/1966

Effective Date

02/16/1966

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006