SHEREECE NICHOLE WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

SHEREECE

Middle

NICHOLE

Last Name

WALLACE

Business Name

SHEREECE NICHOLE WALLACE

Original Issue Date

05/17/2024

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026