LISA L WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030119

License Status

INACTIVE

Business

First Name

LISA L

Last Name

WALLACE

Business Name

LISA L WALLACE

Original Issue Date

02/04/1971

Expiration Date

01/31/1989

City

PARIS

State

Zip

65275

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/21/2005