CALLIE L CARTER WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080952

License Status

NOT RENEWED

Business

First Name

CALLIE

Middle

Last Name

CARTER WALLACE

Business Name

CALLIE L CARTER WALLACE

Original Issue Date

06/13/1997

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

CALUMET PARK

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021