FERN D MALLORY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080671

License Status

INACTIVE

Business

First Name

FERN

Middle

Last Name

MALLORY

Business Name

FERN D MALLORY

Original Issue Date

04/08/1997

Effective Date

01/20/1999

Expiration Date

01/31/1999

City

ALBUQUERQUE

State

Zip

87108

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/21/2005