EMILY RAY WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119454

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

RAY

Last Name

WALLACE

Business Name

EMILY RAY WALLACE

Original Issue Date

09/09/2014

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

ELLERY

State

Zip

62833

Ever Disciplined

LastModifiedDate

03/27/2017