SARAH E WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121363

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

WALLACE

Business Name

SARAH E WALLACE

Original Issue Date

09/08/2015

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/28/2019