Virginia
Department of Professional and Occupational Regulation
KEITH C WALLACE
Health Professions - Licensed Practical Nurse
License number
0002048760
Date granted
01/18/1994
Date expires
05/31/2011
Class
Health Professions - Licensed Practical Nurse
Status
Expired
Address
POWHATAN, VA 23139
virginialicensing.org
ID 33708931
LAST UPDATED 2024-04-08 07:54:59 UTC
LAST UPDATED 2024-04-08 07:54:59 UTC
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