ALLEN FREDRICK WALLACE

Nurse - Aprn Crna Without Pp

Utah  192839-4406   Active

This Utah license is held by ALLEN FREDRICK WALLACE. The license is currently active. It was granted on 07/22/1994 and expired on 01/31/2016

LICENSE DETAILS

  • License Number: 192839-4406
  • Category: APRN-CRNA WITHOUT PP
  • Status: Active
  • Date Granted: 07/22/1994 (almost 30 years ago)
  • Expiry Date: 01/31/2016 (about 8 years ago)

LOCATIONS

A Address

ROOSEVELT, UT 84066