STEPHANIE SUSETTE BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041419787

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

SUSETTE

Last Name

BALLARD

Business Name

STEPHANIE SUSETTE BALLARD

Original Issue Date

04/28/2014

Effective Date

04/28/2014

Expiration Date

05/31/2016

City

BRENTWOOD

State

Zip

63144

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016