KYLIE ELIZABETH WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043138288

License Status

ACTIVE

Business

First Name

KYLIE

Middle

ELIZABETH

Last Name

WALLACE

Business Name

KYLIE ELIZABETH WALLACE

Original Issue Date

09/15/2025

Effective Date

09/15/2025

Expiration Date

01/31/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2025