SHELBY R MALLOW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406400

License Status

ACTIVE

Business

First Name

SHELBY

Middle

Last Name

MALLOW

Business Name

SHELBY R MALLOW

Original Issue Date

10/04/2012

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/28/2026