BREANNA B WALLACE - Registered Nurse License in Illinois | # 043127628

BREANNA B WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043127628

License Status

NOT RENEWED

Business

N

First Name

BREANNA

Middle

B

Last Name

WALLACE

Business Name

BREANNA B WALLACE

Original Issue Date

08/19/2019

Effective Date

01/20/2021

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2023