HENRIETTA M WALLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041072099

License Status

INACTIVE

Business

First Name

HENRIETTA M

Last Name

WALLOCK

Business Name

HENRIETTA M WALLOCK

Original Issue Date

05/08/1952

Effective Date

05/08/1952

Expiration Date

05/01/1982

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006