SHANNON N WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474827

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

WALLACE

Business Name

SHANNON N WALLACE

Original Issue Date

02/07/2019

Effective Date

05/03/2022

Expiration Date

06/30/2024

City

O'FALLON

State

Zip

62269

Ever Disciplined

LastModifiedDate

02/05/2025