SHANE BALLANCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486248

License Status

NOT RENEWED

Business

First Name

SHANE

Last Name

BALLANCE

Business Name

SHANE BALLANCE

Original Issue Date

10/02/2019

Effective Date

10/02/2019

Expiration Date

09/30/2020

City

CHAPIN

State

Zip

29036

Ever Disciplined

LastModifiedDate

01/14/2021