MARIANNE L BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070271

License Status

NOT RENEWED

Business

First Name

MARIANNE

Middle

Last Name

BALLARD

Business Name

MARIANNE L BALLARD

Original Issue Date

06/27/1991

Effective Date

11/08/2012

Expiration Date

01/31/2015

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/09/2015