MELISSA J WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041250910

License Status

ACTIVE

Business

First Name

MELISSA J

Last Name

WALLACE

Business Name

MELISSA J WALLACE

Original Issue Date

12/06/1988

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2026