THERESE M WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041249016

License Status

ACTIVE

Business

First Name

THERESE M

Last Name

WALLACE

Business Name

THERESE M WALLACE

Original Issue Date

09/27/1988

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

SOUTH BELOIT

State

Zip

61080

Ever Disciplined

LastModifiedDate

03/05/2026