MALLIA EIHENTALE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018102

License Status

INACTIVE

Business

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

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2025