JOHNATHAN P WALLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121768

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

WALLS

Business Name

JOHNATHAN P WALLS

Original Issue Date

11/10/2015

Effective Date

12/05/2018

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021