KATIE M WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395887

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

WALLER

Business Name

KATIE M WALLER

Original Issue Date

08/19/2011

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014