RICHARD EDWARD WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041138356

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006