SUSIE BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007218

License Status

NOT RENEWED

Business

First Name

SUSIE

Last Name

BALLARD

Business Name

SUSIE BALLARD

Original Issue Date

10/05/1956

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005