SHIRLEY WALLACE - Registered Nurse License in Illinois | # 043023925

SHIRLEY WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023925

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY

Last Name

WALLACE

Business Name

SHIRLEY WALLACE

Original Issue Date

09/30/1968

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005