Professional Records
License Records
Phyllis Marie Wallace
Address:
6130 Pontiac St, Commerce City, CO 80022
License #:
1226 - Expired
Issued Date:
Apr 1, 2011
Renew Date:
Apr 1, 2012
Expiration Date:
Mar 31, 2013
Type:
Surgical Technologist
Phyllis Ann Wallace
License #:
110072 - Expired
Category:
Nursing
Issued Date:
Jan 24, 1994
Effective Date:
Jul 1, 2007
Expiration Date:
Oct 31, 2002
Type:
APRN
Phyllis Ann Wallace
License #:
110072 - Expired
Category:
Nursing
Issued Date:
Jan 24, 1994
Effective Date:
Jul 1, 2007
Expiration Date:
Oct 31, 2002
Type:
APRN-Nurse Practitioner
Phyllis Ann Wallace
License #:
110072 - Expired
Category:
Nursing
Issued Date:
Jul 5, 1996
Effective Date:
Jul 1, 2007
Type:
APRN-Nurse Practitioner/Practice
Phyllis Ann Wallace
License #:
110072 - Expired
Category:
Nursing
Issued Date:
Jul 5, 1996
Effective Date:
Jul 1, 2007
Type:
APRN/Practice
Phyllis Ann Wallace
License #:
47229 - Expired
Category:
Nursing
Issued Date:
May 22, 1992
Effective Date:
Nov 1, 2002
Expiration Date:
Oct 31, 2002
Type:
Registered Nurse
