HARRIETTE L BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018809

License Status

INACTIVE

Business

First Name

HARRIETTE L

Last Name

BALLARD

Business Name

HARRIETTE L BALLARD

Original Issue Date

03/23/1967

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005