BRENT DAVID BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346452

License Status

INACTIVE

Business

First Name

BRENT

Middle

DAVID

Last Name

BALLARD

Business Name

BRENT DAVID BALLARD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

05/31/2008

City

FANCY FARM

State

Zip

42039

County

KENTUCKY

Ever Disciplined

LastModifiedDate

03/11/2008