STEPHANIE R KENNEDY-MALLUM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022352

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

KENNEDY-MALLUM

Business Name

STEPHANIE R KENNEDY-MALLUM

Original Issue Date

10/30/2020

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

NAPERVILLE

State

Zip

60565

Ever Disciplined

LastModifiedDate

03/11/2026