MALLORY R WITTIG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009469

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

WITTIG

Business Name

MALLORY R WITTIG

Original Issue Date

03/26/2012

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

03/02/2026