SAMANTHA A WALLER - Registered Nurse License in Illinois | # 041506655

SAMANTHA A WALLER

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041506655

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Middle

A

Last Name

WALLER

Business Name

SAMANTHA A WALLER

Original Issue Date

03/05/2021

Effective Date

04/04/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/01/2026