JEREMY M BALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041386726

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

BALL

Business Name

JEREMY M BALL

Original Issue Date

08/02/2010

Effective Date

08/02/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012