Dominique Wallace
ExpiredCalifornia license 95270559
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95270559
- Status
- Expired (Delinquent)
- First issued
- January 10, 2022
- Expired
- December 31, 2023
- License holder
- Dominique Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
25140 W Glen Oaks Ln
Shorewood, IL 60404-9344
Shorewood, IL 60404-9344