License holder summary

Fawn M Wallace is a Health Professions - Licensed Practical Nurse licensed to practice in Virginia. The address on file for Fawn M Wallace is cardinal, VA 23025. This licensed professional license is current. The license was granted 05/29/2009 and expired on 07/31/2016.

Virginia

Department of Professional and Occupational Regulation

Fawn M Wallace
Health Professions - Licensed Practical Nurse
License number
0002080379
Date granted
05/29/2009
Date expires
07/31/2016
Class
Health Professions - Licensed Practical Nurse
Status
Active
Address
cardinal, VA 23025
virginialicensing.org
ID 33737178
LAST UPDATED 2026-05-04 09:35:24 UTC

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