CATHERINE ABBIE BENNA-MALLETTE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019768

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

ABBIE

Last Name

BENNA-MALLETTE

Business Name

CATHERINE ABBIE BENNA-MALLETTE

Original Issue Date

08/07/2019

Effective Date

08/07/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021