RITA S BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064518

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

BALLARD

Business Name

RITA S BALLARD

Original Issue Date

04/17/1987

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

MT CARROLL

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

10/15/2005