JENNIFER M WALLACE - Registered Nurse License in Illinois | # 041372917

JENNIFER M WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372917

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

M

Last Name

WALLACE

Business Name

JENNIFER M WALLACE

Original Issue Date

11/21/2008

Effective Date

11/21/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010