MONA D WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059372

License Status

NOT RENEWED

Business

First Name

MONA D

Last Name

WALLACE

Business Name

MONA D WALLACE

Original Issue Date

07/16/1984

Expiration Date

01/31/1989

City

TAYLOR SPRINGS

State

Zip

62089

Ever Disciplined

LastModifiedDate

10/21/2005