PHYLLIS M CORNILLE - Registered Nurse License in Missouri | # 043011708

PHYLLIS M CORNILLE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011708

License Status

INACTIVE

Business

N

First Name

PHYLLIS M

Last Name

CORNILLE

Business Name

PHYLLIS M CORNILLE

Original Issue Date

10/09/1963

Expiration Date

05/01/1982

State

MO

Ever Disciplined

N

LastModifiedDate

10/21/2005