SHANNON D WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360683

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

WALLER

Business Name

SHANNON D WALLER

Original Issue Date

06/28/2007

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026