MALLORY A SIMONTON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018013

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

SIMONTON

Business Name

MALLORY A SIMONTON

Original Issue Date

09/05/2018

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

03/02/2026