STACY P WALLINGFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362816

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

WALLINGFORD

Business Name

STACY P WALLINGFORD

Original Issue Date

08/23/2007

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

03/08/2012