LISA ANN BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196863

License Status

INACTIVE

Business

First Name

LISA ANN

Last Name

BALLARD

Business Name

LISA ANN BALLARD

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1990

City

GLENDALE

State

Zip

85306

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/27/2006