WILLIAM J BALLA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183972

License Status

INACTIVE

Business

First Name

WILLIAM J

Last Name

BALLA

Business Name

WILLIAM J BALLA

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/2004

City

FORT WALTON BEACH

State

Zip

32548

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006