PHYLLIS ANTONE FROST - Registered Nurse License in Indiana | # 041105700

PHYLLIS ANTONE FROST

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105700

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS ANTONE

Last Name

FROST

Business Name

PHYLLIS ANTONE FROST

Original Issue Date

04/01/1963

Effective Date

04/01/1963

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006