MALLORY ELIZABETH WESTCOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

MALLORY

Middle

ELIZABETH

Last Name

WESTCOTT

Business Name

MALLORY ELIZABETH WESTCOTT

Original Issue Date

05/05/2023

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026