BEVERLY J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114437

License Status

NOT RENEWED

Business

First Name

BEVERLY J

Last Name

WALLACE

Business Name

BEVERLY J WALLACE

Original Issue Date

09/02/1965

Effective Date

09/02/1965

Expiration Date

05/31/2006

City

SARATOGA

State

Zip

95070

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006