CHRIS E WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155099

License Status

INACTIVE

Business

First Name

CHRIS E

Last Name

WALLACE

Business Name

CHRIS E WALLACE

Original Issue Date

07/01/1974

Effective Date

04/14/2016

Expiration Date

05/31/2018

City

FORT BRANCH

State

Zip

47648

County

INDIANA

Ever Disciplined

LastModifiedDate

03/06/2018