LORRIE ANNETTE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044386

License Status

NOT RENEWED

Business

First Name

LORRIE ANNETTE

Last Name

WALLACE

Business Name

LORRIE ANNETTE WALLACE

Original Issue Date

06/29/1978

City

DECATUR

State

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005