GLORIA L WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041274406

License Status

NOT RENEWED

Business

First Name

GLORIA L

Last Name

WALLACE

Business Name

GLORIA L WALLACE

Original Issue Date

05/03/1993

Effective Date

06/16/2020

Expiration Date

08/31/2022

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022