TIFFANY P WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106230

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

WALLACE

Business Name

TIFFANY P WALLACE

Original Issue Date

08/14/2008

Effective Date

01/30/2013

Expiration Date

01/31/2015

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015