WILLA LEE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023510

License Status

NOT RENEWED

Business

First Name

WILLA LEE

Last Name

WALLACE

Business Name

WILLA LEE WALLACE

Original Issue Date

07/02/1968

Effective Date

11/07/2014

Expiration Date

01/31/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

03/27/2017