TENEAL J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111394

License Status

NOT RENEWED

Business

First Name

TENEAL

Middle

Last Name

WALLACE

Business Name

TENEAL J WALLACE

Original Issue Date

10/12/2010

Effective Date

10/12/2010

Expiration Date

01/31/2011

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

03/10/2011