KENDALL WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****29

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