STACY A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041325224

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

WALLACE

Business Name

STACY A WALLACE

Original Issue Date

07/25/2001

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

03/25/2026