MARY C WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104413

License Status

INACTIVE

Business

First Name

MARY C

Last Name

WALLACE

Business Name

MARY C WALLACE

Original Issue Date

11/30/1962

Effective Date

11/30/1962

Expiration Date

05/31/2004

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006