DAVID MICHAEL MALIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041448917

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

MALIS

Business Name

DAVID MICHAEL MALIS

Original Issue Date

01/03/2017

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022