VELMA L WALLACE - Registered Nurse License in Illinois | # 043017069

VELMA L WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017069

License Status

NOT RENEWED

Business

N

First Name

VELMA L

Last Name

WALLACE

Business Name

VELMA L WALLACE

Original Issue Date

11/30/1966

Effective Date

12/14/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007