MARY C WALLACE - Registered Nurse License in Illinois | # 041104413

MARY C WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104413

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006