MAGDALENA AGNIESZKA MALLOY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

MAGDALENA

Middle

AGNIESZKA

Last Name

MALLOY

Business Name

MAGDALENA AGNIESZKA MALLOY

Original Issue Date

05/20/2020

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

LAS VEGAS

State

Zip

89169

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026