JOHANNA L DOMSALLA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041250442

License Status

ACTIVE

Business

First Name

JOHANNA L

Last Name

DOMSALLA

Business Name

JOHANNA L DOMSALLA

Original Issue Date

10/22/1988

Effective Date

05/18/2024

Expiration Date

05/31/2026

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/28/2026