DARLENE ERWIN WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051121

License Status

NOT RENEWED

Business

First Name

DARLENE ERWIN

Last Name

WALLER

Business Name

DARLENE ERWIN WALLER

Original Issue Date

01/08/1981

Effective Date

01/03/2017

Expiration Date

01/31/2019

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/28/2019