TONIA C WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104819

License Status

NOT RENEWED

Business

First Name

TONIA

Middle

Last Name

WALLACE

Business Name

TONIA C WALLACE

Original Issue Date

11/14/2007

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

SOUTHAVEN

State

Zip

38672

Ever Disciplined

LastModifiedDate

03/13/2024