ETHEL WALLACE - Registered Nurse License in Illinois | # 043010112

ETHEL WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010112

License Status

INACTIVE

Business

N

First Name

ETHEL

Last Name

WALLACE

Business Name

ETHEL WALLACE

Effective Date

12/22/2000

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005