EARLENE SUE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206607

License Status

NOT RENEWED

Business

First Name

EARLENE SUE

Last Name

WALLACE

Business Name

EARLENE SUE WALLACE

Original Issue Date

10/07/1981

Effective Date

05/16/2014

Expiration Date

05/31/2016

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

07/11/2016