LANAYA MARIE BALLOU - Registered Nurse License in Wisconsin | # 041348899

LANAYA MARIE BALLOU

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348899

License Status

NOT RENEWED

Business

N

First Name

LANAYA

Middle

MARIE

Last Name

BALLOU

Business Name

LANAYA MARIE BALLOU

Original Issue Date

09/13/2005

Effective Date

03/15/2010

Expiration Date

05/31/2012

State

WI

Ever Disciplined

N

LastModifiedDate

07/10/2012