LANAYA MARIE BALLOU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348899

License Status

NOT RENEWED

Business

First Name

LANAYA

Middle

MARIE

Last Name

BALLOU

Business Name

LANAYA MARIE BALLOU

Original Issue Date

09/13/2005

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012