DIANNA WALLER - Registered Nurse License in Illinois | # 043028995

DIANNA WALLER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028995

License Status

NOT RENEWED

Business

N

First Name

DIANNA

Last Name

WALLER

Business Name

DIANNA WALLER

Original Issue Date

08/12/1971

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005