AMELIA A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041431090

License Status

ACTIVE

Business

First Name

AMELIA

Middle

Last Name

WALLACE

Business Name

AMELIA A WALLACE

Original Issue Date

06/26/2015

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

MANITO

State

Zip

61546

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/01/2026