JENNIFER I BALLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405584

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BALLARD

Business Name

JENNIFER I BALLARD

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

05/31/2014

City

PLACITAS

State

Zip

87043

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

03/06/2014