JENNIE L WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084120

License Status

NOT RENEWED

Business

First Name

JENNIE

Middle

Last Name

WALLACE

Business Name

JENNIE L WALLACE

Original Issue Date

10/06/1999

Effective Date

01/07/2013

Expiration Date

01/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

03/09/2015