MALLORY ANN BUTLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INACTIVE

Business

First Name

MALLORY

Middle

ANN

Last Name

BUTLER

Business Name

MALLORY ANN BUTLER

Original Issue Date

01/27/2017

Effective Date

06/10/2020

Expiration Date

08/31/2022

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/02/2022