BEVERLEY V WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503960

License Status

NOT RENEWED

Business

First Name

BEVERLEY

Middle

Last Name

WALLACE

Business Name

BEVERLEY V WALLACE

Original Issue Date

12/29/2020

Effective Date

12/29/2020

Expiration Date

08/31/2022

City

LITHONIA

State

Zip

30038

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2022