DIANE L MALLORY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323010

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MALLORY

Business Name

DIANE L MALLORY

Original Issue Date

12/21/2000

Effective Date

12/21/2000

Expiration Date

05/31/2004

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006