PHYLLIS R WEAR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017492

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

WEAR

Business Name

PHYLLIS R WEAR

Original Issue Date

04/17/2018

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

BLANDINSVILLE

State

Zip

61420

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/04/2022