TINA M WALLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105780

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

WALLEN

Business Name

TINA M WALLEN

Original Issue Date

05/27/2008

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2011