MILTON D WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191143

License Status

NOT RENEWED

Business

First Name

MILTON D

Last Name

WALLER

Business Name

MILTON D WALLER

Original Issue Date

10/17/1979

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012