MALLORY MARIE BOLANDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031937

License Status

ACTIVE

Business

First Name

MALLORY

Middle

MARIE

Last Name

BOLANDER

Business Name

MALLORY MARIE BOLANDER

Original Issue Date

03/14/2025

Effective Date

03/14/2025

Expiration Date

05/31/2026

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

03/02/2026