PHYLLIS D WILLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005442

License Status

INACTIVE

Business

First Name

PHYLLIS D

Last Name

WILLE

Business Name

PHYLLIS D WILLE

Original Issue Date

01/07/2005

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

BONITA SPRINGS

State

Zip

34134

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/08/2020