JAMES M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027589

License Status

NOT RENEWED

Business

First Name

JAMES M

Last Name

WALLACE

Business Name

JAMES M WALLACE

Original Issue Date

01/25/1971

Effective Date

12/13/2004

Expiration Date

01/31/2007

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

03/16/2007