LOUWANNA M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242295

License Status

NOT RENEWED

Business

First Name

LOUWANNA M

Last Name

WALLACE

Business Name

LOUWANNA M WALLACE

Original Issue Date

07/29/1987

Effective Date

03/08/2012

Expiration Date

05/31/2014

City

DANA

State

Zip

47847

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014