MARY E KALLAL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020212

License Status

INACTIVE

Business

First Name

MARY E

Last Name

KALLAL

Business Name

MARY E KALLAL

Original Issue Date

06/28/1967

Effective Date

11/01/2002

Expiration Date

01/31/2003

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/15/2005