MALLORY R BERGBOWER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458138

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

BERGBOWER

Business Name

MALLORY R BERGBOWER

Original Issue Date

09/14/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

BLUFORD

State

Zip

62814

Ever Disciplined

LastModifiedDate

03/04/2026