FERN D MALLORY - Registered Nurse License in New Mexico | # 043080671

FERN D MALLORY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080671

License Status

INACTIVE

Business

N

First Name

FERN

Middle

D

Last Name

MALLORY

Business Name

FERN D MALLORY

Original Issue Date

04/08/1997

Effective Date

01/20/1999

Expiration Date

01/31/1999

State

NM

Ever Disciplined

N

LastModifiedDate

10/21/2005