HOLLIS G WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049104

License Status

NOT RENEWED

Business

First Name

HOLLIS G

Last Name

WALLACE

Business Name

HOLLIS G WALLACE

Original Issue Date

01/07/1980

Expiration Date

01/31/1991

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/21/2005