License holder summary

Lanita Mae Wallace is a Registered Nurse licensed to practice in Indiana. The address on file for Lanita Mae Wallace is MISHAWAKA IN 46544. This nurse license is not current. The license was granted 12/01/1959 and expired on 10/31/2009.

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

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