TIFFANY N WALLACE - Registered Nurse License in Illinois | # 041482204

TIFFANY N WALLACE

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041482204

License Status

ACTIVE

Business

N

First Name

TIFFANY

Middle

N

Last Name

WALLACE

Business Name

TIFFANY N WALLACE

Original Issue Date

07/17/2019

Effective Date

04/05/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/05/2026