VENEDEA L WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199808

License Status

INACTIVE

Business

First Name

VENEDEA L

Last Name

WALLACE

Business Name

VENEDEA L WALLACE

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/2000

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

09/27/2006