TIFFANY P WALLACE - Registered Nurse License in Illinois | # 041420448

TIFFANY P WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420448

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

P

Last Name

WALLACE

Business Name

TIFFANY P WALLACE

Original Issue Date

06/06/2014

Effective Date

06/06/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016