BROOK R BALLARD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006790

License Status

NOT RENEWED

Business

First Name

BROOK

Middle

Last Name

BALLARD

Business Name

BROOK R BALLARD

Original Issue Date

08/14/2006

Effective Date

08/14/2006

Expiration Date

10/31/2007

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2007