PENNY S WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323739

License Status

INACTIVE

Business

First Name

PENNY

Middle

Last Name

WALLACE

Business Name

PENNY S WALLACE

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

05/31/2002

City

CLINTON

State

Zip

47842

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006