JACQUELINE R WALLER - Registered Nurse License in Indiana | # 041391074

JACQUELINE R WALLER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391074

License Status

INACTIVE

Business

N

First Name

JACQUELINE

Middle

R

Last Name

WALLER

Business Name

JACQUELINE R WALLER

Original Issue Date

03/03/2011

Effective Date

03/13/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

03/08/2020