DIANNA WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028995

License Status

NOT RENEWED

Business

First Name

DIANNA

Last Name

WALLER

Business Name

DIANNA WALLER

Original Issue Date

08/12/1971

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005