CEMA WALLACE - Registered Nurse License in Illinois | # 043022237

CEMA WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022237

License Status

NOT RENEWED

Business

N

First Name

CEMA

Last Name

WALLACE

Business Name

CEMA WALLACE

Original Issue Date

12/22/1967

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005