KELLY R WALLACE Registered Nurse License verification

KELLY R WALLACE

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455375

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

WALLACE

Business Name

KELLY R WALLACE

Original Issue Date

07/20/2017

Effective Date

06/25/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

Ever Disciplined

LastModifiedDate

01/08/2025

Case Number

2022007014

Action

Suspension

Discipline Start Date

12/31/2024

Discipline Reason

registered professional nurse license automatically and indefinitely suspended for a minimum of 12 months for violation of a Care, Counseling and Treatment Agreement.