F JUANITA WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041077369

License Status

INACTIVE

Business

First Name

F JUANITA

Last Name

WALLACE

Business Name

F JUANITA WALLACE

Original Issue Date

01/01/1997

Expiration Date

05/31/1988

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/27/2006