Tiffany Anne Wallace
ExpiredCalifornia license 95385928
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95385928
- Status
- Expired (Delinquent)
- First issued
- July 9, 2024
- Expired
- November 30, 2025
- License holder
- Tiffany Anne Wallace
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
24025 S River Bend Rd
Peculiar, MO 64078-9224
Peculiar, MO 64078-9224