SALLY A BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116471

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

BALLARD

Business Name

SALLY A BALLARD

Original Issue Date

01/04/1966

Effective Date

01/04/1966

Expiration Date

05/31/1996

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/27/2006