DANE C WALLACE - Advanced Practice Nurse License in Illinois | # 209025563

DANE C WALLACE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025563

License Status

ACTIVE

Business

N

First Name

DANE

Middle

C

Last Name

WALLACE

Business Name

DANE C WALLACE

Original Issue Date

07/23/2022

Effective Date

04/01/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026