DONNA M BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227377

License Status

INACTIVE

Business

First Name

DONNA M

Last Name

BALLARD

Business Name

DONNA M BALLARD

Original Issue Date

11/14/1984

Effective Date

06/01/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012