CAROLYN JEAN WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028570

License Status

INACTIVE

Business

First Name

CAROLYN JEAN

Last Name

WALLACE

Business Name

CAROLYN JEAN WALLACE

Original Issue Date

04/28/1971

Expiration Date

01/31/1985

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005