DAVID ORIN BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459535

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ORIN

Last Name

BALLARD

Business Name

DAVID ORIN BALLARD

Original Issue Date

10/25/2017

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

46168

Ever Disciplined

LastModifiedDate

01/14/2021