JACQUELINE K WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032957

License Status

INACTIVE

Business

First Name

JACQUELINE K

Last Name

WALLER

Business Name

JACQUELINE K WALLER

Original Issue Date

04/16/1973

Expiration Date

01/31/1987

City

HUDSON

State

Zip

61748

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005