DENISE M MALLICOAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070901

License Status

NOT RENEWED

Business

First Name

DENISE M

Last Name

MALLICOAT

Business Name

DENISE M MALLICOAT

Original Issue Date

01/16/1992

Effective Date

01/06/2015

Expiration Date

01/31/2017

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/27/2017