JULIA A WALLACE - Registered Nurse License in Illinois | # 041107573

JULIA A WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107573

License Status

NOT RENEWED

Business

N

First Name

JULIA A

Last Name

WALLACE

Business Name

JULIA A WALLACE

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006