JAMI M WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090952

License Status

NOT RENEWED

Business

First Name

JAMI

Middle

Last Name

WALLACE

Business Name

JAMI M WALLACE

Original Issue Date

01/12/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/17/2009