DUSTIN H WALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116108

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

WALL

Business Name

DUSTIN H WALL

Original Issue Date

11/28/2012

Effective Date

11/28/2012

Expiration Date

01/31/2015

City

JOHNSTON CITY

State

Zip

62951

Ever Disciplined

LastModifiedDate

03/09/2015