MARIE J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367946

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

Last Name

WALLACE

Business Name

MARIE J WALLACE

Original Issue Date

05/29/2008

Effective Date

05/16/2014

Expiration Date

05/31/2016

City

BENTON

State

Zip

42025

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2016