CATHA WALLACE - Registered Nurse License in Illinois | # 043016788

CATHA WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016788

License Status

INACTIVE

Business

N

First Name

CATHA

Last Name

WALLACE

Business Name

CATHA WALLACE

Original Issue Date

10/06/1966

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005