License holder summary

VAN H. WALLACE is a Nursing - Registered Nurse licensed to practice in Maine. The address on file for VAN H. WALLACE is 4744 KINGSTON RD, FULTON, KY 42041-6918. This nurse license is not current. The license was granted 08/14/2002 and expired on 02/05/2004.

Department of Professional and Financial Regulation

Board of Nursing

VAN H. WALLACE
Nursing - Registered Nurse
License number
RN47784
Date granted
08/14/2002
Date expires
02/05/2004
Class
Nursing - Registered Nurse
Status
Failed to Renew
Address
4744 KINGSTON RD, FULTON, KY 42041-6918
nursingmaine.org
ID 21327789
LAST UPDATED 2024-03-11 03:55:03 UTC

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