MALLORY RENEE WALTRIP Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402268

License Status

ACTIVE

Business

First Name

MALLORY

Middle

RENEE

Last Name

WALTRIP

Business Name

MALLORY RENEE WALTRIP

Original Issue Date

07/10/2012

Effective Date

03/26/2026

Expiration Date

05/31/2028

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/26/2026