MARY WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102174

License Status

INACTIVE

Business

First Name

MARY

Last Name

WALLACE

Business Name

MARY WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/01/1982

City

FAIRPORT

State

Zip

14450

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006