SANDRA JO WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207104

License Status

INACTIVE

Business

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

City

ST LOUIS

State

Zip

63108

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006