DORIS JEAN WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018994

License Status

INACTIVE

Business

First Name

DORIS

Middle

JEAN

Last Name

WALLACE

Business Name

DORIS JEAN WALLACE

Effective Date

01/24/2005

Expiration Date

01/31/2007

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2006