GENEVA E WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086504

License Status

INACTIVE

Business

First Name

GENEVA E

Last Name

WALLACE

Business Name

GENEVA E WALLACE

Original Issue Date

12/26/1956

Effective Date

12/26/1956

Expiration Date

05/31/2000

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006