TONIA C WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277004762

License Status

ACTIVE

Business

First Name

TONIA

Middle

Last Name

WALLACE

Business Name

TONIA C WALLACE

Original Issue Date

10/30/2025

Effective Date

10/30/2025

Expiration Date

05/31/2026

City

SOUTHAVEN

State

Zip

38672

Ever Disciplined

LastModifiedDate

03/02/2026