CALLIE L CARTER WALLACE - Registered Nurse License in Illinois | # 043080952

CALLIE L CARTER WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080952

License Status

NOT RENEWED

Business

N

First Name

CALLIE

Middle

L

Last Name

CARTER WALLACE

Business Name

CALLIE L CARTER WALLACE

Original Issue Date

06/13/1997

Effective Date

01/29/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021