MALLORY M BERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016365

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

BERG

Business Name

MALLORY M BERG

Original Issue Date

08/16/2017

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026