JILL S WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070587

License Status

ACTIVE

Business

First Name

JILL S

Last Name

WALLACE

Business Name

JILL S WALLACE

Original Issue Date

01/16/1992

Effective Date

01/27/2025

Expiration Date

01/31/2027

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

01/27/2025