Lisa Marie Wallace

Nursing Board - Csr Prescriptive Authority

Indiana  71003281B   Active

This Indiana license is held by Lisa Marie Wallace. The license is currently active. It was granted on 08/03/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71003281B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 08/03/2010 (almost 16 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Community Internists of Anderson, 1601 Medical Arts Bldg., Suite 203, Anderson IN 46011