SALLY A WALLACH - Registered Nurse License in Illinois | # 041113006

SALLY A WALLACH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113006

License Status

INACTIVE

Business

N

First Name

SALLY

Middle

A

Last Name

WALLACH

Business Name

SALLY A WALLACH

Original Issue Date

01/29/1965

Effective Date

05/29/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014