AMANDA ELIZABETH WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399889

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014