ETHEL WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010112

License Status

INACTIVE

Business

First Name

ETHEL

Last Name

WALLACE

Business Name

ETHEL WALLACE

Effective Date

12/22/2000

Expiration Date

01/31/2001

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005