TABATHA KATRINA WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399613

License Status

ACTIVE

Business

First Name

TABATHA

Middle

KATRINA

Last Name

WALLACE

Business Name

TABATHA KATRINA WALLACE

Original Issue Date

02/22/2012

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/01/2026