SUZANNE L WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000508

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

WALLACE

Business Name

SUZANNE L WALLACE

Original Issue Date

05/24/2001

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

03/11/2026