AGNES E WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215136

License Status

NOT RENEWED

Business

First Name

AGNES E

Last Name

WALLACE

Business Name

AGNES E WALLACE

Original Issue Date

01/11/1983

Effective Date

01/11/1983

Expiration Date

05/31/1984

City

VIRGINIA BEACH

State

Zip

23456

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/27/2006