Kent Alan Wallace
ExpiredCalifornia license 503064
License
- Licensed by
- California Board of Registered Nursing
- License number
- 503064
- Status
- Expired (Delinquent)
- First issued
- September 2, 1994
- Expired
- February 28, 2026
- License holder
- Kent Alan Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6832 N Verlaine Dr
Coeur D Alene, ID 83815-8110
Coeur D Alene, ID 83815-8110
Kootenai County