SHAY GABRIEL MALCOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280982

License Status

NOT RENEWED

Business

First Name

SHAY

Last Name

GABRIEL MALCOM

Business Name

SHAY GABRIEL MALCOM

Original Issue Date

05/01/1994

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016