HEATHER M WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304716

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

WALLER

Business Name

HEATHER M WALLER

Original Issue Date

08/14/1997

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

02/28/2026