SHIRLEY J BALLENTINE - Registered Nurse License in Missouri | # 043042564

SHIRLEY J BALLENTINE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042564

License Status

INACTIVE

Business

N

First Name

SHIRLEY J

Last Name

BALLENTINE

Business Name

SHIRLEY J BALLENTINE

Original Issue Date

01/10/1978

Effective Date

12/02/2004

Expiration Date

01/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/15/2005