IVA WALLIN KINGSBOROUGH - Registered Nurse License in Missouri | # 041154996

IVA WALLIN KINGSBOROUGH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154996

License Status

INACTIVE

Business

N

First Name

IVA WALLIN

Last Name

KINGSBOROUGH

Business Name

IVA WALLIN KINGSBOROUGH

Original Issue Date

07/01/1974

Effective Date

07/01/1974

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006