NameINDIA MICHELLE MALLOY
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
IP.407945-ENDS Practical Nurse - Temporary Work Permit 02/09/2006 02/09/2006 08/09/2006 CLOSED
PN.121754-MEDS Licensed Practical Nurse - MEDS 03/03/2006 08/30/2012 08/31/2014 LAPSED Endorsement

Comments


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