BARBARA JEAN WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030018

License Status

NOT RENEWED

Business

First Name

BARBARA JEAN

Last Name

WALLACE

Business Name

BARBARA JEAN WALLACE

Original Issue Date

12/15/1971

Expiration Date

05/01/1982

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005