VIVIAN J MALHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238144

License Status

INACTIVE

Business

First Name

VIVIAN J

Last Name

MALHAM

Business Name

VIVIAN J MALHAM

Original Issue Date

09/15/1986

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012