KATHLEEN E WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071038

License Status

NOT RENEWED

Business

First Name

KATHLEEN E

Last Name

WALLACE

Business Name

KATHLEEN E WALLACE

Original Issue Date

01/16/1992

Effective Date

01/30/2013

Expiration Date

01/31/2015

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

03/09/2015