Lisa Marie Wallace

Apn Prescriptive Authority

Indiana  71003281A   Active

This Indiana license is held by Lisa Marie Wallace. The license is currently active. It was granted on 07/13/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71003281A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 07/13/2010 (almost 16 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Alexandria IN 46001