JUDITH A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292250

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

WALLACE

Business Name

JUDITH A WALLACE

Original Issue Date

09/16/1995

Effective Date

03/31/2016

Expiration Date

05/31/2018

City

FARMER CITY

State

Zip

61842

County

DE WITT

Ever Disciplined

LastModifiedDate

07/19/2018