MALLARI S PEACE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

INACTIVE

Business

First Name

MALLARI

Middle

Last Name

PEACE

Business Name

MALLARI S PEACE

Original Issue Date

01/13/2011

Effective Date

04/22/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/22/2020