SHIRLEY J WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041079269

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

WALLACE

Business Name

SHIRLEY J WALLACE

Original Issue Date

12/06/1954

Effective Date

12/06/1954

Expiration Date

05/31/2006

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006