MARY LOUISE WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136505

License Status

NOT RENEWED

Business

First Name

MARY LOUISE

Last Name

WALLER

Business Name

MARY LOUISE WALLER

Original Issue Date

08/26/1970

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/19/2018