DEBRA A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105275

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

WALLACE

Business Name

DEBRA A WALLACE

Original Issue Date

02/14/2008

Effective Date

12/13/2010

Expiration Date

01/31/2013

City

BUCKEYE

State

Zip

85326

County

ARIZONA

Ever Disciplined

LastModifiedDate

03/20/2013