Kelly C Wallis
ExpiredCalifornia license 613242
License
- Licensed by
- California Board of Registered Nursing
- License number
- 613242
- Status
- Expired (Delinquent)
- First issued
- February 5, 2003
- Expired
- August 31, 2008
- License holder
- Kelly C Wallis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2204 Baldwin Place
Columbia, MO 65202
Columbia, MO 65202
Boone County