KELLIE JO BALLMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041568739

License Status

ACTIVE

Business

First Name

KELLIE

Middle

Last Name

BALLMAN

Business Name

KELLIE JO BALLMAN

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

05/31/2026

City

ELWOOD

State

Zip

46036

Ever Disciplined

LastModifiedDate

03/01/2026