SHAY GABRIEL MALCOM - Registered Nurse License in Illinois | # 041280982

SHAY GABRIEL MALCOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280982

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016