RICHARD EDWARD WALLACE - Registered Nurse License in Illinois | # 041138356

RICHARD EDWARD WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138356

License Status

NOT RENEWED

Business

N

First Name

RICHARD EDWARD

Last Name

WALLACE

Business Name

RICHARD EDWARD WALLACE

Original Issue Date

11/24/1970

Effective Date

11/24/1970

Expiration Date

05/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006