Miranda Rose Wallace
ExpiredIllinois license 043132529
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 043132529
- Status
- Expired (Not Renewed)
- First issued
- October 5, 2022
- Expired
- February 28, 2025
- License holder
- Miranda Rose Wallace
- Entity type
- Individual
Classifications
- Licensed Practical Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 11/09/2022
Contact
Golconda, IL 62938
Pope County