NICOLE C WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041465358

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WALLACE

Business Name

NICOLE C WALLACE

Original Issue Date

06/08/2018

Effective Date

06/08/2018

Expiration Date

09/30/2020

City

LOCUST GROVE

State

Zip

30248

Ever Disciplined

LastModifiedDate

01/14/2021