ELIZABETH A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041484375

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

WALLACE

Business Name

ELIZABETH A WALLACE

BusinessDBA

MS.

Original Issue Date

08/15/2019

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/28/2026