SHANNON K WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299371

License Status

ACTIVE

Business

First Name

SHANNON K

Last Name

WALLACE

Business Name

SHANNON K WALLACE

Original Issue Date

08/23/1996

Effective Date

03/08/2026

Expiration Date

05/31/2028

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2026