DEB WALLENFANG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376046

License Status

NOT RENEWED

Business

First Name

DEB

Last Name

WALLENFANG

Business Name

DEB WALLENFANG

Original Issue Date

06/16/2009

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

GREEN VALLEY

State

Zip

85614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018