JETTYE R H WALLBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041288367

License Status

NOT RENEWED

Business

First Name

JETTYE R H

Last Name

WALLBERG

Business Name

JETTYE R H WALLBERG

Original Issue Date

05/01/1995

Effective Date

05/01/1995

Expiration Date

05/31/2002

City

VANCOUVER

State

Zip

98685

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006