BRENDA J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043540

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

WALLACE

Business Name

BRENDA J WALLACE

Original Issue Date

02/14/1978

Expiration Date

01/31/1987

City

KIRKLAND

State

Zip

60146

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005