SUSAN DALE MALICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006090

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DALE

Last Name

MALICK

Business Name

SUSAN DALE MALICK

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

05/31/2008

City

CARTHAGE

State

Zip

39051

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

07/11/2008