CHARLOTTA M WALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114267

License Status

INACTIVE

Business

First Name

CHARLOTTA M

Last Name

WALL

Business Name

CHARLOTTA M WALL

Original Issue Date

07/29/1965

Effective Date

07/29/1965

Expiration Date

05/31/2008

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/11/2008