MARY B WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241168

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

WALLACE

Business Name

MARY B WALLACE

Original Issue Date

04/30/1987

Effective Date

08/12/2022

Expiration Date

06/30/2024

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025