TRACY L WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080147

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

WALLER

Business Name

TRACY L WALLER

Original Issue Date

11/02/1996

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

AUSTIN

State

Zip

78744

County

TEXAS

Ever Disciplined

LastModifiedDate

03/10/2011