CYNTHIA L WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069583

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

WALLER

Business Name

CYNTHIA L WALLER

Original Issue Date

01/11/1991

Expiration Date

01/31/1997

City

ILLINOIS CITY

State

Zip

61259

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005