MALLORY IVERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013043

License Status

INACTIVE

Business

First Name

MALLORY

Last Name

IVERSON

Business Name

MALLORY IVERSON

Original Issue Date

08/10/2015

Effective Date

08/10/2022

Expiration Date

05/31/2024

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

08/10/2022