ADAM L WALLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021745

License Status

ACTIVE

Business

First Name

ADAM

Middle

Last Name

WALLER

Business Name

ADAM L WALLER

Original Issue Date

07/31/2020

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/02/2026