JENNIE L WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055351

License Status

INACTIVE

Business

First Name

JENNIE L

Last Name

WALLER

Business Name

JENNIE L WALLER

Original Issue Date

02/23/1983

Expiration Date

01/31/1985

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005