License holder summary

Lisa Marie Wallace is a Apn Prescriptive Authority licensed to practice in Indiana. The address on file for Lisa Marie Wallace is Alexandria IN 46001. This nurse license is current. The license was granted 07/13/2010 and expired on 10/31/2015.

Indiana

State Board of Nursing

Lisa Marie Wallace
Apn Prescriptive Authority
License number
71003281A
Date granted
07/13/2010
Date expires
10/31/2015
Class
Apn Prescriptive Authority
Status
Active
Address
Alexandria IN 46001
nursingindiana.org
ID 6407338
LAST UPDATED 2024-03-07 05:54:25 UTC

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