ADRIAN ANN WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458235

License Status

ACTIVE

Business

First Name

ADRIAN

Middle

ANN

Last Name

WALLACE

Business Name

ADRIAN ANN WALLACE

Original Issue Date

09/18/2017

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/01/2026