The holder whose full name is Ballard, Michael Scott,come from Terre Haute IN,hold the Registered Nurse license(NO.28175406A) which status is Expired.
| Name | Ballard, Michael Scott |
|---|---|
| License Number | 28175406A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Terre Haute |
| State | IN |