BONNIE M WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116149

License Status

INACTIVE

Business

First Name

BONNIE M

Last Name

WALLACE

Business Name

BONNIE M WALLACE

Original Issue Date

12/15/1965

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/08/2020