MALLORIE KAYLA ALLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

MALLORIE

Middle

KAYLA

Last Name

ALLEN

Business Name

MALLORIE KAYLA ALLEN

Original Issue Date

08/16/2024

Effective Date

08/16/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/02/2026