License holder summary

SUSAN M. WALLACE is a Nursing - Registered Nurse licensed to practice in Maine. The address on file for SUSAN M. WALLACE is 18 PINELOCH DR, PORTLAND, ME 04103-2910. This nurse license is not current. The license was granted 10/18/1963 and expired on 11/07/2011.

Department of Professional and Financial Regulation

Board of Nursing

SUSAN M. WALLACE
Nursing - Registered Nurse
License number
RN12457
Date granted
10/18/1963
Date expires
11/07/2011
Class
Nursing - Registered Nurse
Status
Failed to Renew
Address
18 PINELOCH DR, PORTLAND, ME 04103-2910
nursingmaine.org
ID 21327784
LAST UPDATED 2024-04-06 18:34:04 UTC

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