MONA D WALLACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241447

License Status

INACTIVE

Business

First Name

MONA D

Last Name

WALLACE

Business Name

MONA D WALLACE

Original Issue Date

04/30/1987

Effective Date

06/07/2024

Expiration Date

05/31/2026

City

TAYLOR SPRINGS

State

Zip

62089

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/26/2026