WALLACE H BARRETT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012598

License Status

ACTIVE

Business

First Name

WALLACE

Middle

Last Name

BARRETT

Business Name

WALLACE H BARRETT

Original Issue Date

02/19/2015

Effective Date

03/17/2024

Expiration Date

05/31/2026

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/02/2026