BREANNA B WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041533683

License Status

ACTIVE

Business

First Name

BREANNA

Middle

Last Name

WALLACE

Business Name

BREANNA B WALLACE

Original Issue Date

10/18/2022

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

03/01/2026