LELIA P WALLACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202879

License Status

INACTIVE

Business

First Name

LELIA P

Last Name

WALLACH

Business Name

LELIA P WALLACH

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/01/1982

City

EXCELSIOR SPRINGS

State

Zip

64024

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006