DONNA MALSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175180

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

MALSTROM

Business Name

DONNA MALSTROM

Original Issue Date

10/12/1977

Effective Date

10/12/1977

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006