ROBERT ERIC WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341017

License Status

ACTIVE

Business

First Name

ROBERT

Middle

ERIC

Last Name

WALLACE

Business Name

ROBERT ERIC WALLACE

Original Issue Date

07/19/2004

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/13/2026