AMANDA D BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396479

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BALLARD

Business Name

AMANDA D BALLARD

Original Issue Date

09/06/2011

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/22/2023

Case Number

2021011743

Action

Revocation

Discipline Start Date

09/20/2023

Discipline Reason

licensed practical nurse license is permanently revoked due to a conviction for Aggravated Battery.