TAKARA A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395595

License Status

ACTIVE

Business

First Name

TAKARA

Middle

Last Name

WALLACE

Business Name

TAKARA A WALLACE

Original Issue Date

08/17/2011

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2026