PHYLLIS C STANFORD - Registered Nurse License in Indiana | # 041261182

PHYLLIS C STANFORD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261182

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS C

Last Name

STANFORD

Business Name

PHYLLIS C STANFORD

Original Issue Date

01/04/1991

Effective Date

05/26/2020

Expiration Date

08/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2022