SUPRENIA A WALLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276650

License Status

NOT RENEWED

Business

First Name

SUPRENIA A

Last Name

WALLS

Business Name

SUPRENIA A WALLS

Original Issue Date

10/13/1993

Effective Date

10/13/1993

Expiration Date

05/31/2004

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2019