LAURA R WALLENFANG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041374723

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

WALLENFANG

Business Name

LAURA R WALLENFANG

Original Issue Date

03/12/2009

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

03/01/2026