MARTHA LOUISE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041412012

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

LOUISE

Last Name

WALLACE

Business Name

MARTHA LOUISE WALLACE

Original Issue Date

07/18/2013

Effective Date

05/27/2016

Expiration Date

05/31/2018

City

FORT MYERS

State

Zip

33905

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/19/2018