CAROLYN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015327

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

WALLACE

Business Name

CAROLYN WALLACE

Original Issue Date

07/05/1966

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005