LORETTA JEAN MALLERY - Registered Nurse License in Illinois | # 043035433

LORETTA JEAN MALLERY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035433

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005