KENDALL WALLACE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

KENDALL

Last Name

WALLACE

Business Name

KENDALL WALLACE

Original Issue Date

03/07/2019

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/31/2023