Jacob Martin Wallace
Nursing - Registered Nurse
Colorado 140931 Active
This Colorado license is held by Jacob Martin Wallace. The license is currently active. It was granted on 02/26/2002 and expired on 09/30/2015
LICENSE DETAILS
- License Number: 140931
- Category: Registered Nurse
- Status: Active
- Date Granted: 02/26/2002 (about 23 years ago)
- Expiry Date: 09/30/2015 (over 9 years ago)
LOCATIONS
A Address
6400 Gem Road, Central Point, OR, 97502-7502