BEVERLY A WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061436

License Status

INACTIVE

Business

First Name

BEVERLY

Middle

Last Name

WALLACE

Business Name

BEVERLY A WALLACE

Original Issue Date

06/27/1985

Effective Date

02/01/2001

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005