HEATHER M WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078614

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

WALLER

Business Name

HEATHER M WALLER

Original Issue Date

11/23/1995

Expiration Date

01/31/1999

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/27/2005