GENE F WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041060103

License Status

INACTIVE

Business

First Name

GENE F

Last Name

WALLACE

Business Name

GENE F WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/31/2004

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006