GRANT ANDREW WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041505974

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

ANDREW

Last Name

WALLACE

Business Name

GRANT ANDREW WALLACE

Original Issue Date

02/19/2021

Effective Date

05/25/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60607

Ever Disciplined

LastModifiedDate

02/05/2025