ELLEN ELIZABETH WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158954

License Status

NOT RENEWED

Business

First Name

ELLEN ELIZABETH

Last Name

WALLACE

Business Name

ELLEN ELIZABETH WALLACE

Original Issue Date

12/12/1974

Effective Date

12/12/1974

Expiration Date

05/31/2004

City

FOLSOM

State

Zip

95630

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006