GLORIA WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041066829

License Status

INACTIVE

Business

First Name

GLORIA

Last Name

WALLACE

Business Name

GLORIA WALLACE

Original Issue Date

04/25/1950

Effective Date

04/25/1950

Expiration Date

05/31/1994

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006