DEBRA A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305025

License Status

ACTIVE

Business

First Name

DEBRA

Middle

Last Name

WALLACE

Business Name

DEBRA A WALLACE

Original Issue Date

08/19/1997

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/01/2026