TIFFANY A WALTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090791

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

WALTER

Business Name

TIFFANY A WALTER

Original Issue Date

12/06/2004

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/17/2009