ROBERT J MULLOY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

MULLOY

Business Name

ROBERT J MULLOY

Original Issue Date

11/10/2011

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026