Marijane Wallack
InactiveIllinois license 041193739
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041193739
- Status
- Inactive
- First issued
- November 8, 1979
- Expired
- May 1, 1982
- License holder
- Marijane Wallack
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 11/08/1979
Contact
Berrien Springs, MI 49103
Michigan County