MALLORY DEMUTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025808

License Status

ACTIVE

Business

First Name

MALLORY

Last Name

DEMUTH

Business Name

MALLORY DEMUTH

Original Issue Date

08/22/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026