ROSE A WALLACE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001599

License Status

NOT RENEWED

Business

First Name

ROSE A

Last Name

WALLACE

Business Name

ROSE A WALLACE

Original Issue Date

06/22/2001

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021