KELLY RENEE WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041452798

License Status

ACTIVE

Business

First Name

KELLY

Middle

RENEE

Last Name

WALLACE

Business Name

KELLY RENEE WALLACE

Original Issue Date

05/09/2017

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

WESTFIELD

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

02/28/2026