DORIS G WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047004

License Status

INACTIVE

Business

First Name

DORIS G

Last Name

WALLACE

Business Name

DORIS G WALLACE

Original Issue Date

07/13/1979

Expiration Date

01/31/1995

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/21/2005