License holder summary

Mallory Shae Fochtman is a Nursing - Registered Nurse licensed to practice in Colorado. The address on file for Mallory Shae Fochtman is 11377 Justamere Dr, Fountain, CO, 80817-0817. This nurse license is not current. The license was granted 03/13/2009 and expired on 09/30/2011.

Department of Regulatory Agencies

Division of Professions and Occupations

Mallory Shae Fochtman
Nursing - Registered Nurse
License number
190072
Date granted
03/13/2009
Date expires
09/30/2011
Class
Nursing - Registered Nurse
Status
Expired
Address
11377 Justamere Dr, Fountain, CO, 80817-0817
nursingcolorado.org
ID 27898311
LAST UPDATED 2026-06-07 14:28:24 UTC

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