CEMA WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022237

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005