JUANITA R NISKALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026450

License Status

NOT RENEWED

Business

First Name

JUANITA R

Last Name

NISKALA

Business Name

JUANITA R NISKALA

Original Issue Date

03/17/1970

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005