DEBORAH A WALLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161255

License Status

INACTIVE

Business

First Name

DEBORAH A

Last Name

WALLIS

Business Name

DEBORAH A WALLIS

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

05/31/1992

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006