Robert Lewis Wallace
ExpiredCalifornia license 95297182
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95297182
- Status
- Expired (Delinquent)
- First issued
- August 5, 2022
- Expired
- October 31, 2025
- License holder
- Robert Lewis Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
550 Ocotillo Dr
Wickenburg, AZ 85390-2329
Wickenburg, AZ 85390-2329