EARLENE SUE WALLACE - Registered Nurse License in Illinois | # 041206607

EARLENE SUE WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041206607

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016