KENDALL A WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150357

License Status

INACTIVE

Business

First Name

KENDALL A

Last Name

WALLER

Business Name

KENDALL A WALLER

Original Issue Date

10/03/1973

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

03/08/2020