TAMMRA K MALLORY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013163

License Status

ACTIVE

Business

First Name

TAMMRA

Middle

Last Name

MALLORY

Business Name

TAMMRA K MALLORY

Original Issue Date

08/20/2015

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

INDIANAPOLIS

State

Zip

46236

Ever Disciplined

LastModifiedDate

03/03/2026