BEVERLY A WALLACE - Registered Nurse License in Illinois | # 041321617

BEVERLY A WALLACE

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321617

License Status

ACTIVE

Business

N

First Name

BEVERLY

Middle

A

Last Name

WALLACE

Business Name

BEVERLY A WALLACE

Original Issue Date

09/07/2000

Effective Date

04/11/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

02/28/2026