DOROTHY A WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124759

License Status

INACTIVE

Business

First Name

DOROTHY A

Last Name

WALLACE

Business Name

DOROTHY A WALLACE

Original Issue Date

01/12/1968

Effective Date

01/12/1968

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006