MARY WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165292

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

WALLACE

Business Name

MARY WALLACE

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006