The holder whose full name is Wallace, Anita Lynne,come from Wheatfield IN,hold the Registered Nurse license(NO.28072672A) which status is Active.
| Name | Wallace, Anita Lynne |
|---|---|
| License Number | 28072672A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Wheatfield |
| State | IN |