BROOK R BALLARD - Respiratory Care Practitioner License in Indiana | # 194006790

BROOK R BALLARD

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006790

License Status

NOT RENEWED

Business

N

First Name

BROOK

Middle

R

Last Name

BALLARD

Business Name

BROOK R BALLARD

Original Issue Date

08/14/2006

Effective Date

08/14/2006

Expiration Date

10/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

12/05/2007