CONNIE MALCOLM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146254

License Status

NOT RENEWED

Business

First Name

CONNIE

Last Name

MALCOLM

Business Name

CONNIE MALCOLM

Original Issue Date

11/03/1972

Effective Date

11/03/1972

Expiration Date

05/31/1984

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006