LESLIE A WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248289

License Status

INACTIVE

Business

First Name

LESLIE A

Last Name

WALLACE

Business Name

LESLIE A WALLACE

Original Issue Date

08/26/1988

Effective Date

08/26/1988

Expiration Date

05/31/1994

City

MAGUOKETA

State

Zip

52060

County

IOWA

Ever Disciplined

LastModifiedDate

09/27/2006