KELSEY A WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019523

License Status

ACTIVE

Business

First Name

KELSEY

Middle

Last Name

WALLACE

Business Name

KELSEY A WALLACE

Original Issue Date

06/14/2019

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026