NEAL P WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041288594

License Status

INACTIVE

Business

First Name

NEAL P

Last Name

WALLACE

Business Name

NEAL P WALLACE

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

05/31/1998

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006