Bonnie Marie Wallace
ExpiredCalifornia license 159698
License
- Licensed by
- California Board of Registered Nursing
- License number
- 159698
- Status
- Expired (Delinquent)
- First issued
- November 24, 1964
- Expired
- August 31, 2004
- License holder
- Bonnie Marie Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5 Delaware Av
Liberty, NY 12754
Liberty, NY 12754
Sullivan County