LORETTA JEAN MALLERY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035433

License Status

INACTIVE

Business

First Name

LORETTA JEAN

Last Name

MALLERY

Business Name

LORETTA JEAN MALLERY

Original Issue Date

09/11/1974

Effective Date

12/02/2004

Expiration Date

01/31/2005

City

GLASFORD

State

Zip

61533

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005