SHANNON MALLOY - Advanced Practice Nurse License in Illinois | # 209012324

SHANNON MALLOY

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012324

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Last Name

MALLOY

Business Name

SHANNON MALLOY

Original Issue Date

12/16/2014

Effective Date

04/06/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022