JAMI SU WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117731

License Status

NOT RENEWED

Business

First Name

JAMI

Middle

Last Name

WALLACE

Business Name

JAMI SU WALLACE

Original Issue Date

09/25/2013

Effective Date

01/25/2021

Expiration Date

01/31/2023

City

CARMI

State

Zip

62821

County

SALINE

Ever Disciplined

LastModifiedDate

03/31/2023