MARLENE B WALLACE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012095

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

Last Name

WALLACE

Business Name

MARLENE B WALLACE

Original Issue Date

10/24/2014

Effective Date

10/12/2022

Expiration Date

06/30/2024

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025