BETTY ANN WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125921

License Status

INACTIVE

Business

First Name

BETTY ANN

Last Name

WALLACE

Business Name

BETTY ANN WALLACE

Original Issue Date

06/04/1968

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

03/05/2010