The holder whose full name is Ballard, Harvella A.,come from Homewood IL,hold the Temporary RN Permit license(NO.99019791A) which status is Superceded.
| Name | Ballard, Harvella A. |
|---|---|
| License Number | 99019791A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Homewood |
| State | IL |