VENEDEA L WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043867

License Status

INACTIVE

Business

First Name

VENEDEA L

Last Name

WALLACE

Business Name

VENEDEA L WALLACE

Original Issue Date

02/14/1978

Expiration Date

05/01/1982

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/21/2005