License holder summary

ALLEN FREDRICK WALLACE is a Nurse - Aprn Crna Without Pp licensed to practice in Utah. The address on file for ALLEN FREDRICK WALLACE is ROOSEVELT, UT 84066. This licensed professional license is current. The license was granted 07/22/1994 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

ALLEN FREDRICK WALLACE
Nurse - Aprn Crna Without Pp
License number
192839-4406
Date granted
07/22/1994
Date expires
01/31/2016
Class
Nurse - Aprn Crna Without Pp
Status
Active
Address
ROOSEVELT, UT 84066
utahlicensing.org
ID 29794921
LAST UPDATED 2024-03-20 07:21:17 UTC

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