MALLORI NICHOLLE ANTHONY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121490

License Status

NOT RENEWED

Business

First Name

MALLORI

Middle

NICHOLLE

Last Name

ANTHONY

Business Name

MALLORI NICHOLLE ANTHONY

Original Issue Date

09/22/2015

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

03/28/2019