MALLORY JEAN GOUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455742

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

JEAN

Last Name

GOUGH

Business Name

MALLORY JEAN GOUGH

Original Issue Date

07/27/2017

Effective Date

07/27/2017

Expiration Date

05/31/2018

City

GREENWOOD

State

Zip

46143

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018