SANDRA JO WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042086

License Status

NOT RENEWED

Business

First Name

SANDRA JO

Last Name

WALLACE

Business Name

SANDRA JO WALLACE

Original Issue Date

07/08/1977

Expiration Date

05/01/1982

City

MOUNT ZION

State

Zip

62549

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005