DONNA JEAN WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078884

License Status

INACTIVE

Business

First Name

DONNA JEAN

Last Name

WALLACE

Business Name

DONNA JEAN WALLACE

Original Issue Date

01/31/1996

Effective Date

11/13/2000

Expiration Date

01/31/2001

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/15/2005