Nicole Danielle Mallory
ExpiredIllinois license 38*****23
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****23
- Status
- Expired (Inoperative)
- First issued
- January 7, 2019
- Expired
- March 1, 2020
- License holder
- Nicole Danielle Mallory
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 01/07/2019
Other Illinois licenses under this name
-
IL
ExpiredMorton Grove, ILExpired Mar 1, 2020
Contact
Morton Grove, IL 60053