ANGELA C BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087774

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

BALLARD

Business Name

ANGELA C BALLARD

Original Issue Date

09/25/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

10/15/2005