JAMES M WALLACE - Registered Nurse License in Illinois | # 043027589

JAMES M WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027589

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007