MARTHA A WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285541

License Status

NOT RENEWED

Business

First Name

MARTHA A

Last Name

WALLER

Business Name

MARTHA A WALLER

Original Issue Date

10/26/1994

Effective Date

10/26/1994

Expiration Date

05/31/1996

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/27/2006