MARIA BARBAGALLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

MARIA

Last Name

BARBAGALLO

Business Name

MARIA BARBAGALLO

Original Issue Date

03/03/2022

Effective Date

03/03/2022

Expiration Date

06/30/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025