PHYLLIS A FAVAZZA - Registered Nurse License in Massachusetts | # 041271601

PHYLLIS A FAVAZZA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271601

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

FAVAZZA

Business Name

PHYLLIS A FAVAZZA

Original Issue Date

10/17/1992

Effective Date

10/17/1992

Expiration Date

05/31/1998

State

MA

Ever Disciplined

N

LastModifiedDate

09/27/2006