PATTY L WALLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123651

License Status

NOT RENEWED

Business

First Name

PATTY L

Last Name

WALLES

Business Name

PATTY L WALLES

Original Issue Date

11/02/1967

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

APPLE RIVER

State

Zip

61001

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/11/2016