MARY A WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052841

License Status

INACTIVE

Business

First Name

MARY A

Last Name

WALLACE

Business Name

MARY A WALLACE

Original Issue Date

01/13/1982

Expiration Date

01/31/1989

City

CUMMING

State

Zip

30130

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/21/2005