SALLY A WALLACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113006

License Status

INACTIVE

Business

First Name

SALLY

Middle

Last Name

WALLACH

Business Name

SALLY A WALLACH

Original Issue Date

01/29/1965

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014