MALLORY M KLOCKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017990

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

KLOCKE

Business Name

MALLORY M KLOCKE

Original Issue Date

08/29/2018

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026