GABRIEL MASON VALA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113273

License Status

NOT RENEWED

Business

First Name

GABRIEL

Middle

MASON

Last Name

VALA

Business Name

GABRIEL MASON VALA

Original Issue Date

09/06/2011

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/27/2017