Michigan
Department of Licensing and Regulation
WALLACE THOMAS MOORE
Nurse Registered & Licensed Practical - Lpn
License number
4703063594
Date granted
06/06/1988
Date expires
03/31/2001
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Marion, MI 49665
michiganlicensing.org
ID 25816052
LAST UPDATED 2024-04-15 16:06:55 UTC
LAST UPDATED 2024-04-15 16:06:55 UTC
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