GEMETTA A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020849

License Status

NOT RENEWED

Business

First Name

GEMETTA A

Last Name

WALLACE

Business Name

GEMETTA A WALLACE

Original Issue Date

10/02/1967

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005