NATHASA N WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012383

License Status

ACTIVE

Business

First Name

NATHASA

Middle

Last Name

WALLACE

Business Name

NATHASA N WALLACE

Original Issue Date

12/31/2014

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026