M LOUELLA BALLEZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157428

License Status

NOT RENEWED

Business

First Name

M LOUELLA

Last Name

BALLEZA

Business Name

M LOUELLA BALLEZA

Original Issue Date

09/11/1974

Effective Date

09/11/1974

City

MEMPHIS

State

Zip

38103

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/27/2006