DEANNA L WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014278

License Status

ACTIVE

Business

First Name

DEANNA L

Last Name

WALLACE

Business Name

DEANNA L WALLACE

Original Issue Date

05/10/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

03/04/2026