License Directory

Lisa Marie Ballantyne

Active

California license 612777

License

Licensed by
California Board of Registered Nursing
License number
612777
Status
Active (Current)
First issued
January 30, 2003
Expires
November 30, 2026
License holder
Lisa Marie Ballantyne
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

4403 Culebra Ave
Santa Rosa, CA 95409-3412
Sonoma County