EMILY G WALLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022178

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

Last Name

WALLER

Business Name

EMILY G WALLER

Original Issue Date

10/06/2020

Effective Date

10/06/2020

Expiration Date

08/31/2022

City

CARRIER MILLS

State

Zip

62917

Ever Disciplined

LastModifiedDate

10/14/2022