PATRICIA G BALLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077040

License Status

NOT RENEWED

Business

First Name

PATRICIA G

Last Name

BALLACK

Business Name

PATRICIA G BALLACK

Original Issue Date

12/17/1953

Effective Date

12/17/1953

City

FORT WORTH

State

Zip

76132

County

TEXAS

Ever Disciplined

LastModifiedDate

09/27/2006