MICHELLE K WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321990

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

WALLACE

Business Name

MICHELLE K WALLACE

Original Issue Date

09/25/2000

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

KIRKSVILLE

State

Zip

63501

Ever Disciplined

LastModifiedDate

01/14/2021