EDNA B WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041026679

License Status

INACTIVE

Business

First Name

EDNA B

Last Name

WALLACE

Business Name

EDNA B WALLACE

Original Issue Date

12/29/1933

Effective Date

12/29/1933

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006