NEAL P WALLACE - Registered Nurse License in Indiana | # 041288594

NEAL P WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041288594

License Status

INACTIVE

Business

N

First Name

NEAL P

Last Name

WALLACE

Business Name

NEAL P WALLACE

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

05/31/1998

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006