TERICA M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259577

License Status

NOT RENEWED

Business

First Name

TERICA M

Last Name

WALLACE

Business Name

TERICA M WALLACE

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

05/31/1996

City

HILLSBOROUGH

State

Zip

27278

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/27/2006