LATASHA D WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043135391

License Status

ACTIVE

Business

First Name

LATASHA

Middle

Last Name

WALLACE

Prefix

Business Name

LATASHA D WALLACE

Original Issue Date

04/19/2024

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

01/15/2025