LEE ANN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375859

License Status

NOT RENEWED

Business

First Name

LEE

Middle

ANN

Last Name

WALLACE

Business Name

LEE ANN WALLACE

Original Issue Date

06/04/2009

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014