WALLINE DRIVER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

WALLINE

Last Name

DRIVER

Business Name

WALLINE DRIVER

Original Issue Date

06/11/2015

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

GRIFFIN

State

Zip

30223

County

CRAWFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022