MARY E WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068170

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

WALLACE

Business Name

MARY E WALLACE

Original Issue Date

02/15/1990

Expiration Date

01/31/1997

City

PERRY

State

Zip

32347

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/21/2005