DORIS G WALLACE - Registered Nurse License in Illinois | # 043047004

DORIS G WALLACE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047004

License Status

INACTIVE

Business

N

First Name

DORIS G

Last Name

WALLACE

Business Name

DORIS G WALLACE

Original Issue Date

07/13/1979

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005