PHYLLIS LEE FERGUSON - Registered Nurse License in New York | # 041129597

PHYLLIS LEE FERGUSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129597

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS LEE

Last Name

FERGUSON

Business Name

PHYLLIS LEE FERGUSON

Original Issue Date

01/03/1969

Effective Date

01/03/1969

Expiration Date

05/31/1986

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006