CORNELIA WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095889

License Status

NOT RENEWED

Business

First Name

CORNELIA

Last Name

WALLACE

Business Name

CORNELIA WALLACE

Original Issue Date

12/18/1959

Effective Date

12/18/1959

Expiration Date

05/31/1994

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006