SHIRLEY J BALLENTINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042564

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

BALLENTINE

Business Name

SHIRLEY J BALLENTINE

Original Issue Date

01/10/1978

Effective Date

12/02/2004

Expiration Date

01/31/2005

City

BEL NOR

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/15/2005