AMANDA DARLENE WALLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124514

License Status

ACTIVE

Business

First Name

AMANDA

Middle

DARLENE

Last Name

WALLER

Business Name

AMANDA DARLENE WALLER

Original Issue Date

09/07/2017

Effective Date

01/23/2025

Expiration Date

01/31/2027

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/23/2025