JOSEPH A MALCOLM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

JOSEPH

Middle

Last Name

MALCOLM

Business Name

JOSEPH A MALCOLM

Original Issue Date

11/13/2021

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

NORTH AURORA

State

Zip

60542

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2025