JACOB CHARLES DELASALLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041482700

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

CHARLES

Last Name

DELASALLE

Business Name

JACOB CHARLES DELASALLE

Original Issue Date

07/22/2019

Effective Date

07/22/2019

Expiration Date

09/30/2020

City

KANSAS CITY

State

Zip

64151

Ever Disciplined

LastModifiedDate

01/14/2021