TIMAKA S WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080708

License Status

NOT RENEWED

Business

First Name

TIMAKA

Middle

Last Name

WALLACE

Business Name

TIMAKA S WALLACE

Original Issue Date

04/11/1997

Effective Date

01/11/2013

Expiration Date

01/31/2015

City

WHEATON

State

Zip

60187

Ever Disciplined

LastModifiedDate

03/09/2015