GAYLE M WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213033

License Status

INACTIVE

Business

First Name

GAYLE M

Last Name

WALLACE

Business Name

GAYLE M WALLACE

Original Issue Date

11/04/1982

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

03/08/2012