REBECCA J WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079979

License Status

NOT RENEWED

Business

First Name

REBECCA J

Last Name

WALLACE

Business Name

REBECCA J WALLACE

Original Issue Date

10/29/1996

Effective Date

12/31/2022

Expiration Date

02/28/2025

City

BAYLIS

State

Zip

62314

County

PIKE

Ever Disciplined

LastModifiedDate

05/08/2025