CATHA WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016788

License Status

INACTIVE

Business

First Name

CATHA

Last Name

WALLACE

Business Name

CATHA WALLACE

Original Issue Date

10/06/1966

Expiration Date

01/31/1985

City

NORRIS CITY

State

Zip

62869

County

FULTON

Ever Disciplined

LastModifiedDate

10/21/2005