BRENDA J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041239432

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

WALLACE

Business Name

BRENDA J WALLACE

Original Issue Date

09/22/1986

Effective Date

06/17/2016

Expiration Date

05/31/2018

City

KIRKLAND

State

Zip

60146

County

DEKALB

Ever Disciplined

LastModifiedDate

07/19/2018