NELLIE FAYE WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083208

License Status

NOT RENEWED

Business

First Name

NELLIE

Middle

FAYE

Last Name

WALLER

Business Name

NELLIE FAYE WALLER

Original Issue Date

12/11/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

VIRGINIA

State

Zip

62691

County

CASS

Ever Disciplined

LastModifiedDate

10/21/2005