TERRY L WALLACE - Registered Nurse License in Missouri | # 041227575

TERRY L WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227575

License Status

INACTIVE

Business

N

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

State

MO

Ever Disciplined

N

LastModifiedDate

09/27/2006