ANGELINA MARIE WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115529

License Status

ACTIVE

Business

First Name

ANGELINA

Middle

MARIE

Last Name

WALLACE

Business Name

ANGELINA MARIE WALLACE

Original Issue Date

09/07/2012

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

SULLIVAN

State

Zip

61951

Ever Disciplined

LastModifiedDate

01/02/2025