Madeline Mary Wallace
ExpiredCalifornia license 201760
License
- Licensed by
- California Board of Registered Nursing
- License number
- 201760
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- April 30, 2007
- License holder
- Madeline Mary Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
17361 Santa Maria St
Fountain Valley, CA 92708
Fountain Valley, CA 92708
Orange County