KIM H WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041268692

License Status

INACTIVE

Business

First Name

KIM H

Last Name

WALLER

Business Name

KIM H WALLER

Original Issue Date

06/10/1992

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CLINTON

State

Zip

47842

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2010