MALLIA EIHENTALE - Advanced Practice Nurse License in Illinois | # 209018102

MALLIA EIHENTALE

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018102

License Status

INACTIVE

Business

N

First Name

MALLIA

Last Name

EIHENTALE

Business Name

MALLIA EIHENTALE

Original Issue Date

09/12/2018

Effective Date

05/13/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/18/2025