M LOUELLA BALLEZA - Registered Nurse License in Tennessee | # 041157428

M LOUELLA BALLEZA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157428

License Status

NOT RENEWED

Business

N

First Name

M LOUELLA

Last Name

BALLEZA

Business Name

M LOUELLA BALLEZA

Original Issue Date

09/11/1974

Effective Date

09/11/1974

State

TN

Ever Disciplined

N

LastModifiedDate

09/27/2006