NameTYNISHA DANIELLE WALLACE
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IR.950043-ENDS Registered Nurse - Temporary Work Permit 09/30/2010 09/30/2010 03/30/2011 CLOSED License Issued
RN.367131- Registered Nurse 01/21/2011 09/26/2011 08/31/2013 LAPSED Endorsement

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