MALLORY S SHORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111197

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

SHORT

Business Name

MALLORY S SHORT

Original Issue Date

09/27/2010

Effective Date

12/01/2010

Expiration Date

01/31/2013

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/20/2013