MICHELE R WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109614

License Status

ACTIVE

Business

First Name

MICHELE

Middle

Last Name

WALLACE

Business Name

MICHELE R WALLACE

Original Issue Date

01/07/2010

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/09/2025