TERRY L WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227575

License Status

INACTIVE

Business

First Name

TERRY L

Last Name

WALLACE

Business Name

TERRY L WALLACE

Original Issue Date

12/03/1984

Effective Date

12/03/1984

Expiration Date

05/31/1992

City

SUNSET HILLS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006