DIANE J WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064940

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

WALLER

Business Name

DIANE J WALLER

Original Issue Date

12/15/1987

Effective Date

01/06/2009

Expiration Date

01/31/2011

City

GALENSBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/03/2010

Case Number

2008010256

Action

Reprimand

Discipline Start Date

08/17/2009

Discipline Reason

due to unprofessional conduct related to patient care.