AGNES MARY MAIJALA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142873

License Status

INACTIVE

Business

First Name

AGNES MARY

Last Name

MAIJALA

Business Name

AGNES MARY MAIJALA

Original Issue Date

01/10/1972

Effective Date

01/10/1972

Expiration Date

05/31/1992

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006