Professional Records
License Records
Justine R Ballard
Address:
2562 SE Jason Ave, Port Saint Lucie, FL
Phone:
(772) 398-1584
License #:
29263 - Expired
Category:
Health Care
Issued Date:
Jul 19, 2004
Effective Date:
Jun 1, 2016
Expiration Date:
May 31, 2016
Type:
Certified Nursing Assistant
