AMY D WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077913

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

WALLACE

Business Name

AMY D WALLACE

Original Issue Date

09/16/1995

Effective Date

01/26/2009

Expiration Date

01/31/2011

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

03/10/2011