KIM H WALLER - Registered Nurse License in Illinois | # 043043210

KIM H WALLER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043210

License Status

NOT RENEWED

Business

N

First Name

KIM H

Last Name

WALLER

Business Name

KIM H WALLER

Original Issue Date

02/14/1978

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005