BETH BALLARD BLACK - Registered Nurse License in Indiana | # 041236471

BETH BALLARD BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041236471

License Status

INACTIVE

Business

N

First Name

BETH BALLARD

Last Name

BLACK

Business Name

BETH BALLARD BLACK

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

05/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006