MARY ALICE WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138372

License Status

INACTIVE

Business

First Name

MARY ALICE

Last Name

WALLACE

Business Name

MARY ALICE WALLACE

Original Issue Date

01/01/1997

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

EVERGREEN

State

Zip

80439

County

COLORADO

Ever Disciplined

LastModifiedDate

03/08/2012