TODD ALLEN MALOTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303122

License Status

NOT RENEWED

Business

First Name

TODD ALLEN

Last Name

MALOTT

Business Name

TODD ALLEN MALOTT

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

05/31/2006

City

BLACK HAWK

State

Zip

57718

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/09/2006