LATRELLE M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071609

License Status

NOT RENEWED

Business

First Name

LATRELLE M

Last Name

WALLACE

Business Name

LATRELLE M WALLACE

Original Issue Date

03/03/1992

Expiration Date

01/31/1993

City

SAVANNAH

State

Zip

31401

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/21/2005