GAMALIA WALLACE - Registered Nurse License in Illinois | # 043021321

GAMALIA WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021321

License Status

INACTIVE

Business

N

First Name

GAMALIA

Last Name

WALLACE

Business Name

GAMALIA WALLACE

Original Issue Date

12/07/1967

Effective Date

12/08/2004

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005