KIMBERLY M WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120655

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WALLER

Business Name

KIMBERLY M WALLER

Original Issue Date

05/08/2015

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021