JOAN WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041151711

License Status

NOT RENEWED

Business

First Name

JOAN

Last Name

WALLER

Business Name

JOAN WALLER

Original Issue Date

10/23/1973

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CASSOPOLIS

State

Zip

49031

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021