STEPHANIE R KENNEDY-MALLUM Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

INOPERATIVE

Business

First Name

STEPHANIE

Middle

Last Name

KENNEDY-MALLUM

Business Name

STEPHANIE R KENNEDY-MALLUM

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

05/31/2024

City

NAPERVILLE

State

Zip

60565

Ever Disciplined

LastModifiedDate

03/03/2024