TONIA C WALLACE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031240

License Status

INACTIVE

Business

First Name

TONIA

Middle

Last Name

WALLACE

Business Name

TONIA C WALLACE

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

05/31/2026

City

SOUTHAVEN

State

Zip

38672

Ever Disciplined

LastModifiedDate

10/30/2025