MARY WALLACE - Registered Nurse License in Illinois | # 041165292

MARY WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165292

License Status

NOT RENEWED

Business

N

First Name

MARY

Last Name

WALLACE

Business Name

MARY WALLACE

Original Issue Date

11/14/1975

Effective Date

11/14/1975

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006