SANDRA JO WALLACE - Registered Nurse License in Missouri | # 041207104

SANDRA JO WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207104

License Status

INACTIVE

Business

N

First Name

SANDRA JO

Last Name

WALLACE

Business Name

SANDRA JO WALLACE

Original Issue Date

10/07/1981

Effective Date

10/07/1981

Expiration Date

05/31/1986

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006