ANGENETTE E WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041215104

License Status

NOT RENEWED

Business

First Name

ANGENETTE E

Last Name

WALLACE

Business Name

ANGENETTE E WALLACE

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

05/31/1988

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006