ALOMA A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070970

License Status

NOT RENEWED

Business

First Name

ALOMA

Middle

Last Name

WALLACE

Business Name

ALOMA A WALLACE

Original Issue Date

01/16/1992

Effective Date

02/10/2005

Expiration Date

01/31/2007

City

ORANGE PARK

State

Zip

32065

Ever Disciplined

LastModifiedDate

03/16/2007