MALACHI SAMUEL HAZELBAKER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041441193

License Status

ACTIVE

Business

First Name

MALACHI

Middle

SAMUEL

Last Name

HAZELBAKER

Business Name

MALACHI SAMUEL HAZELBAKER

Original Issue Date

05/16/2016

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

FOX LAKE

State

Zip

53933

Ever Disciplined

LastModifiedDate

02/28/2026