MALLORY IVERSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INACTIVE

Business

First Name

MALLORY

Last Name

IVERSON

Business Name

MALLORY IVERSON

Original Issue Date

11/06/2015

Effective Date

08/10/2022

Expiration Date

05/31/2024

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

08/10/2022