MIRANDA ROSE WALLACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043132529

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

ROSE

Last Name

WALLACE

Business Name

MIRANDA ROSE WALLACE

Original Issue Date

10/05/2022

Effective Date

11/09/2022

Expiration Date

02/28/2025

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

05/08/2025