VIRGINIA P WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240900

License Status

INACTIVE

Business

First Name

VIRGINIA P

Last Name

WALLACE

Business Name

VIRGINIA P WALLACE

Original Issue Date

04/11/1987

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

03/06/2014