KIMBERLY A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253733

License Status

ACTIVE

Business

First Name

KIMBERLY A

Last Name

WALLACE

Business Name

KIMBERLY A WALLACE

Original Issue Date

09/21/1989

Effective Date

06/12/2024

Expiration Date

05/31/2026

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/01/2026