NICOLE C WALLACE - Registered Nurse License in Georgia | # 041465358

NICOLE C WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041465358

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

C

Last Name

WALLACE

Business Name

NICOLE C WALLACE

Original Issue Date

06/08/2018

Effective Date

06/08/2018

Expiration Date

09/30/2020

State

GA

Ever Disciplined

N

LastModifiedDate

01/14/2021