IRENE C WALLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025007

License Status

NOT RENEWED

Business

First Name

IRENE C

Last Name

WALLER

Business Name

IRENE C WALLER

Original Issue Date

04/01/1969

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005