CHARLENE MARIE MALLOY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041520920

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

MARIE

Last Name

MALLOY

Business Name

CHARLENE MARIE MALLOY

BusinessDBA

CHARLENE MARIE DEFFET

Original Issue Date

02/08/2022

Effective Date

02/08/2022

Expiration Date

08/31/2022

City

WOODSTOCK

State

Zip

30188

Ever Disciplined

LastModifiedDate

10/14/2022