GLADYS L WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017782

License Status

NOT RENEWED

Business

First Name

GLADYS L

Last Name

WALLACE

Business Name

GLADYS L WALLACE

Original Issue Date

01/18/1967

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005