FREDA L MALLICOAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010442

License Status

INACTIVE

Business

First Name

FREDA L

Last Name

MALLICOAT

Business Name

FREDA L MALLICOAT

Original Issue Date

04/02/1962

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005