PHYLLIS S GUSICK - Registered Nurse License in Indiana | # 041291128

PHYLLIS S GUSICK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041291128

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS S

Last Name

GUSICK

Business Name

PHYLLIS S GUSICK

Original Issue Date

08/26/1995

Effective Date

05/15/2012

Expiration Date

05/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

07/03/2014