Indiana
State Board of Nursing
JENNIFER MICHELLE WALLACE
Licensed Practical Nurse
License number
27042825A
Date granted
10/03/1996
Date expires
10/31/2012
Class
Licensed Practical Nurse
Status
Expired
Address
Edinburgh IN 46124
nursingindiana.org
ID 6472138
LAST UPDATED 2026-03-13 04:04:18 UTC
LAST UPDATED 2026-03-13 04:04:18 UTC
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