CHASE TYLER WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041471011

License Status

ACTIVE

Business

First Name

CHASE

Middle

TYLER

Last Name

WALLACE

Business Name

CHASE TYLER WALLACE

Original Issue Date

10/05/2018

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

TOULON

State

Zip

61483

Ever Disciplined

LastModifiedDate

03/17/2026