MALIA KIM BENDIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

MALIA

Middle

KIM

Last Name

BENDIS

Business Name

MALIA KIM BENDIS

Original Issue Date

12/20/2001

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROMEOVILLE

State

Zip

60446

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2020