DEBRA A WALLACE - Registered Nurse License in Arizona | # 043105275

DEBRA A WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105275

License Status

NOT RENEWED

Business

N

First Name

DEBRA

Middle

A

Last Name

WALLACE

Business Name

DEBRA A WALLACE

Original Issue Date

02/14/2008

Effective Date

12/13/2010

Expiration Date

01/31/2013

State

AZ

Ever Disciplined

N

LastModifiedDate

03/20/2013