GEMETTA A WALLACE - Registered Nurse License in Illinois | # 043020849

GEMETTA A WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020849

License Status

NOT RENEWED

Business

N

First Name

GEMETTA A

Last Name

WALLACE

Business Name

GEMETTA A WALLACE

Original Issue Date

10/02/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005