Edna B Wallace
InactiveIllinois license 041026679
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041026679
- Status
- Inactive
- First issued
- December 29, 1933
- License holder
- Edna B Wallace
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 12/29/1933
Contact
Collinsville, IL 62234
Madison County