MALLORY IVERSON - Advanced Practice Nurse License in Illinois | # 209013043

MALLORY IVERSON

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013043

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

08/10/2022