DOMINIQUE SHANTE WALLACE FOX Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041447688

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

SHANTE

Last Name

WALLACE FOX

Business Name

DOMINIQUE SHANTE WALLACE FOX

Original Issue Date

11/02/2016

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

02/28/2026