R MAXINE WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041036613

License Status

INACTIVE

Business

First Name

R MAXINE

Last Name

WALLACE

Business Name

R MAXINE WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/31/1990

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/27/2006