AMANDA D BALLARD

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043106794

NOT RENEWED

N

AMANDA

D

BALLARD

AMANDA D BALLARD

10/07/2008

02/03/2011

01/31/2013

VIENNA

IL

62995

JOHNSON

Y

09/22/2023

2021011743

Revocation

09/20/2023

registered professional nurse license is permanently revoked due to a conviction for Aggravated Battery.