WALTER BUCHANAN

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041198591

NOT RENEWED

N

WALTER

BUCHANAN

WALTER BUCHANAN

11/17/1980

03/21/2018

09/30/2020

GARY

IN

46402

LAKE

Y

01/14/2021

1986000957

Revocation

12/30/1986

06/09/1997