PHYLLIS MACK REYNOLDS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005578

License Status

NOT RENEWED

Business

First Name

PHYLLIS MACK

Last Name

REYNOLDS

Business Name

PHYLLIS MACK REYNOLDS

Original Issue Date

06/15/2005

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021