JUDITH TRACY NORMAN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213025

License Status

NOT RENEWED

Business

First Name

JUDITH TRACY

Last Name

NORMAN WALLACE

Business Name

JUDITH TRACY NORMAN WALLACE

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1996

City

DAYTON

State

Zip

45449

Ever Disciplined

LastModifiedDate

09/27/2006