EDWARD LAMERA CAPALLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338791

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

LAMERA

Last Name

CAPALLA

Business Name

EDWARD LAMERA CAPALLA

Original Issue Date

01/20/2004

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

FAIRFIELD

State

Zip

94533

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022