CYNTHIA A WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104649

License Status

ACTIVE

Business

First Name

CYNTHIA

Middle

Last Name

WALLACE

Business Name

CYNTHIA A WALLACE

Original Issue Date

10/23/2007

Effective Date

01/20/2025

Expiration Date

01/31/2027

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

01/20/2025