DANE C WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041441946

License Status

ACTIVE

Business

First Name

DANE

Middle

Last Name

WALLACE

Business Name

DANE C WALLACE

Original Issue Date

06/15/2016

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026