CYNTHIA S WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066879

License Status

NOT RENEWED

Business

First Name

CYNTHIA S

Last Name

WALLACE

Business Name

CYNTHIA S WALLACE

Original Issue Date

02/17/1989

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/15/2005