CASSANDRA MARIE WALLACE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

CASSANDRA

Middle

MARIE

Last Name

WALLACE

Business Name

CASSANDRA MARIE WALLACE

Original Issue Date

03/30/2015

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018