Penny Frantom Wallace
InactiveIllinois license 041194601
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041194601
- Status
- Inactive
- First issued
- April 24, 1980
- Expired
- May 1, 1982
- License holder
- Penny Frantom Wallace
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/24/1980
Contact
Shreveport, LA 71104
Louisiana County