KATHLEEN M WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041234635

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

WALLACE

Business Name

KATHLEEN M WALLACE

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

05/31/1998

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006