DONNA J MALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168388

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

MALL

Business Name

DONNA J MALL

Original Issue Date

11/01/1976

Effective Date

05/13/2016

Expiration Date

05/31/2018

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/19/2018