DALE D WALLERICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041225755

License Status

INACTIVE

Business

First Name

DALE D

Last Name

WALLERICH

Business Name

DALE D WALLERICH

Original Issue Date

10/09/1984

Effective Date

03/24/2016

Expiration Date

05/31/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018