MARK LAWRENCE WALLEN - Registered Nurse License in Indiana | # 041422059

MARK LAWRENCE WALLEN

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041422059

License Status

ACTIVE

Business

N

First Name

MARK

Middle

LAWRENCE

Last Name

WALLEN

Business Name

MARK LAWRENCE WALLEN

Original Issue Date

07/23/2014

Effective Date

05/31/2024

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

03/01/2026