CIERRA JANE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043127705

License Status

NOT RENEWED

Business

First Name

CIERRA

Middle

JANE

Last Name

WALLACE

Business Name

CIERRA JANE WALLACE

Original Issue Date

08/28/2019

Effective Date

01/08/2021

Expiration Date

01/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/31/2023