JULIA MARGRET MALLOY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

MARGRET

Last Name

MALLOY

Business Name

JULIA MARGRET MALLOY

Original Issue Date

01/07/2020

Effective Date

01/07/2020

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/11/2022