Patricia I Wallace
ExpiredCalifornia license 636591
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636591
- Status
- Expired (Delinquent)
- First issued
- April 27, 2004
- Expired
- August 31, 2005
- License holder
- Patricia I Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
120 N 43rd St
Louisville, KY 40212
Louisville, KY 40212
Jefferson County