KELSEY A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420825

License Status

ACTIVE

Business

First Name

KELSEY

Middle

Last Name

WALLACE

Business Name

KELSEY A WALLACE

Original Issue Date

06/27/2014

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026