AMANDA L WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417261

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

WALLACE

Business Name

AMANDA L WALLACE

Original Issue Date

01/17/2014

Effective Date

06/21/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2026