TANYA MARIE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082138

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

MARIE

Last Name

WALLACE

Business Name

TANYA MARIE WALLACE

Original Issue Date

03/26/1998

Effective Date

01/24/2005

Expiration Date

01/31/2007

City

HANOVER PARK

State

Zip

60133

Ever Disciplined

LastModifiedDate

03/16/2007