HOLLIS G WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253361

License Status

NOT RENEWED

Business

First Name

HOLLIS G

Last Name

WALLACE

Business Name

HOLLIS G WALLACE

Original Issue Date

08/25/1989

Effective Date

08/25/1989

Expiration Date

05/31/2000

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/27/2006