PATRICIA M WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347338

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

WALLER

Business Name

PATRICIA M WALLER

Original Issue Date

08/09/2005

Effective Date

04/02/2012

Expiration Date

05/31/2014

City

SAINT PETERSBURG

State

Zip

33702

Ever Disciplined

LastModifiedDate

07/03/2014