JACQUELINE R WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041391074

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

WALLER

Business Name

JACQUELINE R WALLER

Original Issue Date

03/03/2011

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2020