MARILYN JEAN BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267745

License Status

NOT RENEWED

Business

First Name

MARILYN JEAN

Last Name

BALLARD

Business Name

MARILYN JEAN BALLARD

Original Issue Date

04/17/1992

Effective Date

04/17/1992

Expiration Date

05/31/1994

City

MACHESNEY PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006