SANDRA JEAN WALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030286

License Status

NOT RENEWED

Business

First Name

SANDRA JEAN

Last Name

WALL

Business Name

SANDRA JEAN WALL

Original Issue Date

03/02/1972

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/11/2021