JAMES J WALLACE SR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269920

License Status

NOT RENEWED

Business

First Name

JAMES J

Last Name

WALLACE SR

Business Name

JAMES J WALLACE SR

Original Issue Date

09/28/1992

Effective Date

09/28/1992

Expiration Date

05/31/1996

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

09/27/2006