PATRICIA M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285318

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

WALLACE

Business Name

PATRICIA M WALLACE

Original Issue Date

10/11/1994

Effective Date

10/11/1994

Expiration Date

05/31/2004

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006