MARY L MALLORY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

MALLORY

Business Name

MARY L MALLORY

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

05/31/2006

City

CAIRO

State

Zip

62914

County

ALEXANDER

Ever Disciplined

LastModifiedDate

10/09/2006