TONIA C WALLACE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****20

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