DEVIN C WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043127864

License Status

NOT RENEWED

Business

First Name

DEVIN

Middle

Last Name

WALLACE

Business Name

DEVIN C WALLACE

Original Issue Date

09/16/2019

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/31/2023