BRENT DAVID BALLARD - Registered Nurse License in Kentucky | # 041346452

BRENT DAVID BALLARD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346452

License Status

INACTIVE

Business

N

First Name

BRENT

Middle

DAVID

Last Name

BALLARD

Business Name

BRENT DAVID BALLARD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

05/31/2008

State

KY

Ever Disciplined

N

LastModifiedDate

03/11/2008