PHILLIS A DEWITT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014522

License Status

ACTIVE

Business

First Name

PHILLIS A

Last Name

DEWITT

Business Name

PHILLIS A DEWITT

Original Issue Date

07/19/2016

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026