HENRIETTA R PHILLIPS - Registered Nurse License in Indiana | # 041112647

HENRIETTA R PHILLIPS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112647

License Status

INACTIVE

Business

N

First Name

HENRIETTA R

Last Name

PHILLIPS

Business Name

HENRIETTA R PHILLIPS

Original Issue Date

12/21/1964

Effective Date

12/21/1964

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006