MARY A WALLACE - Registered Nurse License in Georgia | # 043052841

MARY A WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052841

License Status

INACTIVE

Business

N

First Name

MARY A

Last Name

WALLACE

Business Name

MARY A WALLACE

Original Issue Date

01/13/1982

Expiration Date

01/31/1989

State

GA

Ever Disciplined

N

LastModifiedDate

10/21/2005