TIFFANY L BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070019

License Status

NOT RENEWED

Business

First Name

TIFFANY L

Last Name

BALLARD

Business Name

TIFFANY L BALLARD

Original Issue Date

04/23/1991

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/17/2009