KENDALL WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002737

License Status

ACTIVE

Business

First Name

KENDALL

Last Name

WALLACE

Business Name

KENDALL WALLACE

Original Issue Date

10/13/2023

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/02/2026