AMANDA D WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041404486

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

WALLACE

Business Name

AMANDA D WALLACE

Original Issue Date

08/06/2012

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026