SAMANTHA A WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041506655

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

WALLER

Business Name

SAMANTHA A WALLER

Original Issue Date

03/05/2021

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

03/01/2026