MARCIA L BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114685

License Status

INACTIVE

Business

First Name

MARCIA L

Last Name

BALLARD

Business Name

MARCIA L BALLARD

Original Issue Date

10/04/1965

Effective Date

03/18/2010

Expiration Date

05/31/2012

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

03/08/2012