WANDA J THOMAS WALLACE - Registered Nurse License in Illinois | # 043046049

WANDA J THOMAS WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046049

License Status

NOT RENEWED

Business

N

First Name

WANDA J

Middle

THOMAS

Last Name

WALLACE

Business Name

WANDA J THOMAS WALLACE

Original Issue Date

01/26/1979

Effective Date

12/07/2020

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2023