MISTY M WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402271

License Status

ACTIVE

Business

First Name

MISTY

Middle

Last Name

WALLACE

Business Name

MISTY M WALLACE

Original Issue Date

07/10/2012

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

02/28/2026