Kathleen Aileen Ballog
ExpiredCalifornia license 618794
License
- Licensed by
- California Board of Registered Nursing
- License number
- 618794
- Status
- Expired (Delinquent)
- First issued
- May 22, 2003
- Expired
- August 31, 2004
- License holder
- Kathleen Aileen Ballog
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1111 Airport Road
Binghamton, NY 13905
Binghamton, NY 13905
Broome County