PHILLIP D WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222424

License Status

NOT RENEWED

Business

First Name

PHILLIP D

Last Name

WALLER

Business Name

PHILLIP D WALLER

Original Issue Date

05/08/1984

Effective Date

06/14/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/27/2025

Case Number

2006001513

Action

Reprimand

Discipline Start Date

12/24/2007

Discipline Reason

for his attempt to convert hospital property to his own use.