SHIRLEY WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023925

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

WALLACE

Business Name

SHIRLEY WALLACE

Original Issue Date

09/30/1968

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005