ADAM WALLACE - Registered Nurse License in Georgia | # 041516802

ADAM WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041516802

License Status

NOT RENEWED

Business

N

First Name

ADAM

Last Name

WALLACE

Business Name

ADAM WALLACE

Original Issue Date

10/06/2021

Effective Date

10/06/2021

Expiration Date

08/31/2022

State

GA

Ever Disciplined

N

LastModifiedDate

10/14/2022