Kelly Sue Wallace
ExpiredCalifornia license 95059506
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95059506
- Status
- Expired (Delinquent)
- First issued
- April 18, 2015
- Expired
- July 31, 2016
- License holder
- Kelly Sue Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
21104 E Camacho Rd
Queen Creek, AZ 85142-5484
Queen Creek, AZ 85142-5484