MARY WALLACE - Registered Nurse License in New York | # 041102174

MARY WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102174

License Status

INACTIVE

Business

N

First Name

MARY

Last Name

WALLACE

Business Name

MARY WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/01/1982

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006