GERALYNN ANN MALLOY DO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216152

License Status

NOT RENEWED

Business

First Name

GERALYNN

Middle

ANN

Last Name

MALLOY

Suffix

Business Name

GERALYNN ANN MALLOY DO

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

05/31/2000

City

LOOGOOTEE

State

Zip

47553

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006