STEPHANIE L MALLORY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304675

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MALLORY

Business Name

STEPHANIE L MALLORY

Original Issue Date

08/14/1997

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

LATHAM

State

Zip

62543

County

LOGAN

Ever Disciplined

LastModifiedDate

03/02/2026