SANDRA JO WALLACE - Registered Nurse License in Illinois | # 043042086

SANDRA JO WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042086

License Status

NOT RENEWED

Business

N

First Name

SANDRA JO

Last Name

WALLACE

Business Name

SANDRA JO WALLACE

Original Issue Date

07/08/1977

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005