Patricia Gayle Wallace

Nursing Board - Csr Prescriptive Authority

Indiana  70000099B   Active

This Indiana license is held by Patricia Gayle Wallace. The license is currently active. It was granted on 03/08/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 70000099B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 03/08/2001 (about 23 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Deaconess Cross Pointe, 7200 East Indiana Street, Evansville IN 47715