ADAM L WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041386023

License Status

ACTIVE

Business

First Name

ADAM

Middle

Last Name

WALLER

Business Name

ADAM L WALLER

Original Issue Date

07/22/2010

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

County

JACKSON

Ever Disciplined

LastModifiedDate

03/01/2026