JORDAN S WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041430491

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

WALLACE

Business Name

JORDAN S WALLACE

Original Issue Date

06/15/2015

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/01/2026