LARRY R WALLACE - Registered Nurse License in Missouri | # 041235052

LARRY R WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041235052

License Status

NOT RENEWED

Business

N

First Name

LARRY R

Last Name

WALLACE

Business Name

LARRY R WALLACE

Original Issue Date

04/18/1986

Effective Date

04/18/1986

Expiration Date

05/31/2004

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006