MALLORIE J LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041463561

License Status

NOT RENEWED

Business

First Name

MALLORIE

Middle

Last Name

LANE

Business Name

MALLORIE J LANE

Original Issue Date

04/06/2018

Effective Date

04/06/2018

Expiration Date

09/30/2020

City

FREEPORT

State

Zip

61032

Ever Disciplined

LastModifiedDate

01/14/2021