PATRICIA ANN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150416

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

ANN

Last Name

WALLACE

Business Name

PATRICIA ANN WALLACE

Original Issue Date

10/03/1973

Effective Date

08/11/2022

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

02/05/2025