SANDRA JEAN WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140250

License Status

ACTIVE

Business

First Name

SANDRA JEAN

Last Name

WALLACE

Business Name

SANDRA JEAN WALLACE

Original Issue Date

08/30/1971

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026