MALLORY ANN BUTLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014336

License Status

INACTIVE

Business

First Name

MALLORY

Middle

ANN

Last Name

BUTLER

Business Name

MALLORY ANN BUTLER

Original Issue Date

06/14/2016

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

SMITHTON

State

Zip

62285

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/14/2022