ANDREW ROSS STALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041205100

License Status

INACTIVE

Business

First Name

ANDREW ROSS

Last Name

STALLER

Business Name

ANDREW ROSS STALLER

Original Issue Date

10/08/1981

Effective Date

04/23/2018

Expiration Date

09/30/2020

City

SPRING GROVE

State

Zip

60081

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2020