ANNALISA MARIA WALLACE - Registered Nurse License in Michigan | # 041466337

ANNALISA MARIA WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041466337

License Status

NOT RENEWED

Business

N

First Name

ANNALISA

Middle

MARIA

Last Name

WALLACE

Business Name

ANNALISA MARIA WALLACE

Original Issue Date

07/12/2018

Effective Date

07/12/2018

Expiration Date

09/30/2020

State

MI

Ever Disciplined

N

LastModifiedDate

01/14/2021