LARRY R WALLACE - Registered Nurse License in Illinois | # 043057315

LARRY R WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057315

License Status

NOT RENEWED

Business

N

First Name

LARRY R

Last Name

WALLACE

Business Name

LARRY R WALLACE

Original Issue Date

05/09/1983

Expiration Date

01/31/1987

State

IL

Ever Disciplined

Y

LastModifiedDate

10/21/2005