License holder summary

Dianne Marie Mallory is a Apn Prescriptive Authority licensed to practice in Indiana. The address on file for Dianne Marie Mallory is Gary IN 46404-3206. This nurse license is not current. The license was granted 05/31/2006 and expired on 10/31/2013.

Indiana

State Board of Nursing

Dianne Marie Mallory
Apn Prescriptive Authority
License number
71002165A
Date granted
05/31/2006
Date expires
10/31/2013
Class
Apn Prescriptive Authority
Status
Expired
Address
Gary IN 46404-3206
nursingindiana.org
ID 6413911
LAST UPDATED 2024-04-29 07:04:17 UTC

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