JACQUELINE G LEWALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040139

License Status

INACTIVE

Business

First Name

JACQUELINE G

Last Name

LEWALLEN

Business Name

JACQUELINE G LEWALLEN

Original Issue Date

02/02/1977

Effective Date

12/09/2016

Expiration Date

01/31/2019

City

NIOTA

State

Zip

62358

County

HANCOCK

Ever Disciplined

LastModifiedDate

11/14/2018