DONNA M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041229040

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

WALLACE

Business Name

DONNA M WALLACE

Original Issue Date

05/13/1985

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018