DIANNE M MALLORY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130387

License Status

NOT RENEWED

Business

First Name

DIANNE M

Last Name

MALLORY

Business Name

DIANNE M MALLORY

Original Issue Date

03/13/1969

Effective Date

04/20/2012

Expiration Date

05/31/2014

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014