THOMAS FIELD BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041178828

License Status

NOT RENEWED

Business

First Name

THOMAS FIELD

Last Name

BALLARD

Business Name

THOMAS FIELD BALLARD

Original Issue Date

01/10/1978

Effective Date

01/10/1978

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006