KIM H WALLER - Registered Nurse License in Indiana | # 041268692

KIM H WALLER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041268692

License Status

INACTIVE

Business

N

First Name

KIM H

Last Name

WALLER

Business Name

KIM H WALLER

Original Issue Date

06/10/1992

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IN

Ever Disciplined

N

LastModifiedDate

03/05/2010