JACQUELINE K WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041232491

License Status

NOT RENEWED

Business

First Name

JACQUELINE K

Last Name

WALLER

Business Name

JACQUELINE K WALLER

Original Issue Date

10/29/1985

Effective Date

03/30/2012

Expiration Date

05/31/2014

City

HUDSON

State

Zip

61748

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014