AMY JO WALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054460

License Status

INACTIVE

Business

First Name

AMY JO

Last Name

WALL

Business Name

AMY JO WALL

Original Issue Date

07/27/1982

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/08/2012