ELIZABETH A WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125984

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

WALLACE

Business Name

ELIZABETH A WALLACE

BusinessDBA

MS.

Original Issue Date

09/11/2018

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/11/2021