MIRANDA ROSE WALLACE - Registered Nurse License in Illinois | # 043132529

MIRANDA ROSE WALLACE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043132529

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/08/2025