ALYCE A WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117711

License Status

INACTIVE

Business

First Name

ALYCE A

Last Name

WALLACE

Business Name

ALYCE A WALLACE

Original Issue Date

07/18/1966

Effective Date

07/18/1966

Expiration Date

05/31/1998

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/27/2006