GENEVA E WALLACE - Registered Nurse License in Illinois | # 041086504

GENEVA E WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086504

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006