LIZABETH J WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004409

License Status

ACTIVE

Business

First Name

LIZABETH J

Last Name

WALLACE

Business Name

LIZABETH J WALLACE

Original Issue Date

08/02/2002

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026