MALLORY MICHELLE LIGHT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026738

License Status

ACTIVE

Business

First Name

MALLORY

Middle

MICHELLE

Last Name

LIGHT

Business Name

MALLORY MICHELLE LIGHT

Original Issue Date

01/24/2023

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/02/2026