LATASHA D WALLACE - Registered Nurse License in Illinois | # 043135391

LATASHA D WALLACE

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043135391

License Status

ACTIVE

Business

N

First Name

LATASHA

Middle

D

Last Name

WALLACE

Prefix

MR

Business Name

LATASHA D WALLACE

Original Issue Date

04/19/2024

Effective Date

01/15/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

01/15/2025