CHARLOTTE B WALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041055937

License Status

INACTIVE

Business

First Name

CHARLOTTE B

Last Name

WALLEN

Business Name

CHARLOTTE B WALLEN

Original Issue Date

02/03/1947

Effective Date

02/03/1947

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006