JACOB CHARLES DELASALLE - Registered Nurse License in Missouri | # 041482700

JACOB CHARLES DELASALLE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041482700

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

CHARLES

Last Name

DELASALLE

Business Name

JACOB CHARLES DELASALLE

Original Issue Date

07/22/2019

Effective Date

07/22/2019

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021