AMANDA L WALLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446291

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WALLIS

Business Name

AMANDA L WALLIS

Original Issue Date

09/15/2016

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

Ever Disciplined

LastModifiedDate

01/14/2021