IVA WALLIN KINGSBOROUGH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154996

License Status

INACTIVE

Business

First Name

IVA WALLIN

Last Name

KINGSBOROUGH

Business Name

IVA WALLIN KINGSBOROUGH

Original Issue Date

07/01/1974

Effective Date

07/01/1974

City

WEST ALTON

State

Zip

63386

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006