ELLEN R WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214528

License Status

NOT RENEWED

Business

First Name

ELLEN R

Last Name

WALLACE

Business Name

ELLEN R WALLACE

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006