PENNY FRANTOM WALLACE - Registered Nurse License in Louisiana | # 041194601

PENNY FRANTOM WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041194601

License Status

INACTIVE

Business

N

First Name

PENNY FRANTOM

Last Name

WALLACE

Business Name

PENNY FRANTOM WALLACE

Original Issue Date

04/24/1980

Effective Date

04/24/1980

Expiration Date

05/01/1982

State

LA

Ever Disciplined

N

LastModifiedDate

09/27/2006