TIFFANY P WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420448

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

WALLACE

Business Name

TIFFANY P WALLACE

Original Issue Date

06/06/2014

Effective Date

06/06/2014

Expiration Date

05/31/2016

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016