TASHAE MARIE WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129856

License Status

ACTIVE

Business

First Name

TASHAE

Middle

MARIE

Last Name

WALLACE

Business Name

TASHAE MARIE WALLACE

Original Issue Date

01/13/2021

Effective Date

01/23/2025

Expiration Date

01/31/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/23/2025