MARIJANE WALLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193739

License Status

INACTIVE

Business

First Name

MARIJANE

Last Name

WALLACK

Business Name

MARIJANE WALLACK

Original Issue Date

11/08/1979

Effective Date

11/08/1979

Expiration Date

05/01/1982

City

BERRIEN SPRINGS

State

Zip

49103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006