SELENA D MCCALLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

SELENA

Middle

Last Name

MCCALLA

Business Name

SELENA D MCCALLA

Original Issue Date

06/21/2018

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

ROSSVILLE

State

Zip

60963

County

IROQUOIS

Ever Disciplined

LastModifiedDate

05/06/2022