Martha Ann Wallace
ExpiredCalifornia license 615185
License
- Licensed by
- California Board of Registered Nursing
- License number
- 615185
- Status
- Expired (Delinquent)
- First issued
- March 11, 2003
- Expired
- August 31, 2010
- License holder
- Martha Ann Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
108 County Rd 37
Louchbuie, CO 80603
Louchbuie, CO 80603
Weld County