CHLOE M WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344468

License Status

INACTIVE

Business

First Name

CHLOE

Middle

Last Name

WALLACE

Business Name

CHLOE M WALLACE

Original Issue Date

02/10/2005

Effective Date

02/10/2005

Expiration Date

05/31/2008

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/11/2008