MALLORY JEAN GOUGH - Registered Nurse License in Indiana | # 041455742

MALLORY JEAN GOUGH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455742

License Status

NOT RENEWED

Business

N

First Name

MALLORY

Middle

JEAN

Last Name

GOUGH

Business Name

MALLORY JEAN GOUGH

Original Issue Date

07/27/2017

Effective Date

07/27/2017

Expiration Date

05/31/2018

State

IN

Ever Disciplined

N

LastModifiedDate

07/19/2018