MADISON A WALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129347

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

WALL

Business Name

MADISON A WALL

Original Issue Date

09/04/2020

Effective Date

01/13/2021

Expiration Date

01/31/2023

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

03/31/2023