DINA M WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041310317

License Status

ACTIVE

Business

First Name

DINA

Middle

Last Name

WALLACE

Business Name

DINA M WALLACE

Original Issue Date

08/11/1998

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026