CAROL J WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024588

License Status

INACTIVE

Business

First Name

CAROL J

Last Name

WALLACE

Business Name

CAROL J WALLACE

Original Issue Date

01/30/1969

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005