ADAM L WALLER - Advanced Practice Nurse License in Illinois | # 209021745

ADAM L WALLER

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021745

License Status

ACTIVE

Business

N

First Name

ADAM

Middle

L

Last Name

WALLER

Business Name

ADAM L WALLER

Original Issue Date

07/31/2020

Effective Date

05/02/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026