KENDALL WALLACE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017908

License Status

INACTIVE

Business

First Name

KENDALL

Last Name

WALLACE

Business Name

KENDALL WALLACE

Original Issue Date

08/03/2018

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/31/2023