MARYANN M BALLELOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080637

License Status

NOT RENEWED

Business

First Name

MARYANN M

Last Name

BALLELOS

Business Name

MARYANN M BALLELOS

Original Issue Date

03/13/1997

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LEHIGH ACRES

State

Zip

33970

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/15/2005