MARY LOU KALLAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024795

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

KALLAL

Business Name

MARY LOU KALLAL

Original Issue Date

04/01/1969

Expiration Date

05/01/1982

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/21/2005