MARY GRACE CAPALLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041370184

License Status

NOT RENEWED

Business

First Name

MARY

Middle

GRACE

Last Name

CAPALLA

Business Name

MARY GRACE CAPALLA

Original Issue Date

07/30/2008

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

FAIRFIELD

State

Zip

94533

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022