MATTAVIA M BALLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126888

License Status

NOT RENEWED

Business

First Name

MATTAVIA

Middle

Last Name

BALLARD

Business Name

MATTAVIA M BALLARD

Original Issue Date

03/05/2019

Effective Date

12/07/2022

Expiration Date

02/28/2025

City

CROSSROADS

State

Zip

76227

Ever Disciplined

LastModifiedDate

05/08/2025