DEBRA A WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175705

License Status

NOT RENEWED

Business

First Name

DEBRA A

Last Name

WALLER

Business Name

DEBRA A WALLER

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/02/2014