AMANDA L WALLACE - Registered Nurse License in Illinois | # 041417261

AMANDA L WALLACE

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417261

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

L

Last Name

WALLACE

Business Name

AMANDA L WALLACE

Original Issue Date

01/17/2014

Effective Date

06/21/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/01/2026