ADAM L WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106710

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

WALLER

Business Name

ADAM L WALLER

Original Issue Date

09/25/2008

Effective Date

01/26/2009

Expiration Date

01/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/10/2011