Ellen R Wallace
ExpiredIllinois license 041214528
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041214528
- Status
- Expired (Not Renewed)
- First issued
- November 4, 1982
- Expired
- May 31, 1984
- License holder
- Ellen R Wallace
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 11/04/1982
Contact
Granite City, IL 62040
Madison County