R MAXINE WALLACE - Registered Nurse License in Illinois | # 041036613

R MAXINE WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041036613

License Status

INACTIVE

Business

N

First Name

R MAXINE

Last Name

WALLACE

Business Name

R MAXINE WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006