CATHERINE L WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054391

License Status

INACTIVE

Business

First Name

CATHERINE L

Last Name

WALLACE

Business Name

CATHERINE L WALLACE

Original Issue Date

07/27/1982

Expiration Date

01/31/1991

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005