JESSICA L WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121632

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

WALLACE

Business Name

JESSICA L WALLACE

Original Issue Date

10/13/2015

Effective Date

10/13/2015

Expiration Date

01/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

03/27/2017