JEFF S WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180795

License Status

ACTIVE

Business

First Name

JEFF S

Last Name

WALLACE

Business Name

JEFF S WALLACE

Original Issue Date

05/08/1978

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

02/28/2026