COLLIN G WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125975

License Status

ACTIVE

Business

First Name

COLLIN

Middle

Last Name

WALLACE

Business Name

COLLIN G WALLACE

Original Issue Date

09/11/2018

Effective Date

12/14/2024

Expiration Date

01/31/2027

City

PENSACOLA

State

Zip

32514

Ever Disciplined

LastModifiedDate

12/14/2024