DONNA WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041504818

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

WALLACE

Business Name

DONNA WALLACE

BusinessDBA

BOWMAN

Original Issue Date

01/26/2021

Effective Date

01/26/2021

Expiration Date

08/31/2022

City

POWELL

State

Zip

37849

Ever Disciplined

LastModifiedDate

10/14/2022