MICHELLE L WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041468268

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

WALLACE

Business Name

MICHELLE L WALLACE

Original Issue Date

08/13/2018

Effective Date

04/14/2020

Expiration Date

08/31/2022

City

BLUFFTON

State

Zip

29910

Ever Disciplined

LastModifiedDate

10/14/2022