Gene F Wallace
InactiveIllinois license 041060103
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041060103
- Status
- Inactive
- First issued
- January 1, 1997
- Expired
- May 31, 2004
- License holder
- Gene F Wallace
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
Contact
La Grange, IL 60525
Cook County