PATRICIA A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128050

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

WALLACE

Business Name

PATRICIA A WALLACE

Original Issue Date

10/04/1968

Effective Date

10/04/1968

Expiration Date

05/31/2002

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006