SHARON M WALLENBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112001

License Status

NOT RENEWED

Business

First Name

SHARON M

Last Name

WALLENBERG

Business Name

SHARON M WALLENBERG

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006