SHARON LOU WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115113

License Status

INACTIVE

Business

First Name

SHARON LOU

Last Name

WALLER

Business Name

SHARON LOU WALLER

Original Issue Date

10/04/1965

Effective Date

10/04/1965

Expiration Date

05/31/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006