GUSTEN C WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041413550

License Status

ACTIVE

Business

First Name

GUSTEN

Middle

Last Name

WALLACE

Business Name

GUSTEN C WALLACE

Original Issue Date

08/01/2013

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

02/28/2026