AMANDA ELIZABETH WALLACE - Registered Nurse License in Illinois | # 041399889

AMANDA ELIZABETH WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399889

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

ELIZABETH

Last Name

WALLACE

Business Name

AMANDA ELIZABETH WALLACE

Original Issue Date

02/29/2012

Effective Date

05/07/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014