MALLORY A HICKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041399398

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

HICKS

Business Name

MALLORY A HICKS

Original Issue Date

02/16/2012

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

GRUNDY

Ever Disciplined

LastModifiedDate

01/14/2021