AMY D WALLACE - Registered Nurse License in Illinois | # 043077913

AMY D WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077913

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

D

Last Name

WALLACE

Business Name

AMY D WALLACE

Original Issue Date

09/16/1995

Effective Date

01/26/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011