ADAM WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041516802

License Status

NOT RENEWED

Business

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

City

FORTSON

State

Zip

31808

Ever Disciplined

LastModifiedDate

10/14/2022