Indiana
State Board of Nursing
Lanita Mae Wallace
Registered Nurse
License number
28035280A
Date granted
12/01/1959
Date expires
10/31/2009
Class
Registered Nurse
Status
Expired
Address
MISHAWAKA IN 46544
nursingindiana.org
ID 29054589
LAST UPDATED 2024-04-01 03:56:31 UTC
LAST UPDATED 2024-04-01 03:56:31 UTC
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