TONIA C WALLACE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402630

License Status

ACTIVE

Business

First Name

TONIA

Middle

Last Name

WALLACE

Business Name

TONIA C WALLACE

Original Issue Date

07/16/2012

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

SOUTHAVEN

State

Zip

38672

Ever Disciplined

LastModifiedDate

03/01/2026