MOLLY DEAN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041409751

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

DEAN

Last Name

WALLACE

Business Name

MOLLY DEAN WALLACE

Original Issue Date

03/28/2013

Effective Date

03/14/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016