WANDA J THOMAS WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046049

License Status

NOT RENEWED

Business

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

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023