LOUWANNA M WALLACE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001044

License Status

NOT RENEWED

Business

First Name

LOUWANNA M

Last Name

WALLACE

Business Name

LOUWANNA M WALLACE

Original Issue Date

06/15/2001

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

DANA

State

Zip

47847

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014