SUSAN D WALLACE-MANN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041295016

License Status

INACTIVE

Business

First Name

SUSAN D

Last Name

WALLACE-MANN

Business Name

SUSAN D WALLACE-MANN

Original Issue Date

02/17/1996

Effective Date

02/17/1996

Expiration Date

05/31/2000

City

FERGUSON

State

Zip

63135

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006