BETH BALLARD BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041236471

License Status

INACTIVE

Business

First Name

BETH BALLARD

Last Name

BLACK

Business Name

BETH BALLARD BLACK

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

05/31/1990

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006