SHEQUETA M MACK-WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112892

License Status

NOT RENEWED

Business

First Name

SHEQUETA

Middle

Last Name

MACK-WALLACE

Business Name

SHEQUETA M MACK-WALLACE

Original Issue Date

07/22/2011

Effective Date

04/16/2015

Expiration Date

01/31/2017

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/27/2017