ROSALEE E WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009113

License Status

NOT RENEWED

Business

First Name

ROSALEE E

Last Name

WALLER

Business Name

ROSALEE E WALLER

Original Issue Date

04/01/1960

Effective Date

11/19/2012

Expiration Date

01/31/2015

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

03/09/2015