EDNA R WALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041274096

License Status

NOT RENEWED

Business

First Name

EDNA R

Last Name

WALL

Business Name

EDNA R WALL

Original Issue Date

04/15/1993

Effective Date

05/02/2012

Expiration Date

05/31/2014

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/03/2014