MANUEL WALLACE IV Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041464081

License Status

ACTIVE

Business

First Name

MANUEL

Last Name

WALLACE IV

Business Name

MANUEL WALLACE IV

Original Issue Date

04/20/2018

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/02/2026