License holder summary

Shannon Lee Wallace is a Apn Prescriptive Authority licensed to practice in Indiana. The address on file for Shannon Lee Wallace is Indianapolis IN 46234. This nurse license is current. The license was granted 01/28/2003 and expired on 10/31/2015.

Indiana

State Board of Nursing

Shannon Lee Wallace
Apn Prescriptive Authority
License number
71001501A
Date granted
01/28/2003
Date expires
10/31/2015
Class
Apn Prescriptive Authority
Status
Active
Address
Indianapolis IN 46234
nursingindiana.org
ID 6416561
LAST UPDATED 2024-04-14 01:38:37 UTC

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