MARY GRACE DEVEYRA MALLARI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116648

License Status

NOT RENEWED

Business

First Name

MARY GRACE

Middle

DEVEYRA

Last Name

MALLARI

Business Name

MARY GRACE DEVEYRA MALLARI

Original Issue Date

03/19/2013

Effective Date

12/03/2014

Expiration Date

01/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017