JUDITH HENSON WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187058

License Status

INACTIVE

Business

First Name

JUDITH HENSON

Last Name

WALLACE

Business Name

JUDITH HENSON WALLACE

Original Issue Date

03/09/1979

Effective Date

03/09/1979

Expiration Date

05/31/1986

City

COLLIERVILLE

State

Zip

38017

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/27/2006