WALLACE R JARVIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042178

License Status

INACTIVE

Business

First Name

WALLACE R

Last Name

JARVIS

Business Name

WALLACE R JARVIS

Original Issue Date

07/08/1977

Expiration Date

01/31/1987

City

HODGEN

State

Zip

74939

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/21/2005