MALINDA SUZANNE TEAGUE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

NOT RENEWED

Business

First Name

MALINDA

Middle

SUZANNE

Last Name

TEAGUE

Business Name

MALINDA SUZANNE TEAGUE

Original Issue Date

01/15/2003

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2010