ELSIE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009067

License Status

NOT RENEWED

Business

First Name

ELSIE

Last Name

WALLACE

Business Name

ELSIE WALLACE

Original Issue Date

01/29/1960

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005