Indiana
State Board of Nursing
Olivia Kathleen Wallace
Certified Nurse Aide
License number
CNA0803369
Date granted
06/02/2008
Date expires
06/02/2012
Class
Certified Nurse Aide
Status
Expired
Address
Cloverdale IN 46120
nursingindiana.org
ID 6174949
LAST UPDATED 2024-05-04 06:03:57 UTC
LAST UPDATED 2024-05-04 06:03:57 UTC
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