Nicole Danielle Mallory

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085006904

Status

Expired (Not Renewed)

First issued

December 28, 2018

Expired

March 1, 2020

License holder

Nicole Danielle Mallory

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/28/2018

Other Illinois licenses under this name

• IL
  Nicole Danielle Mallory

  License 38*****23

  Physician Assistant Controlled Substance
  Expired

  Morton Grove, IL

  Expired Mar 1, 2020

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