PHYLLIS R WEAR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

WEAR

Business Name

PHYLLIS R WEAR

Original Issue Date

06/06/2018

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

BLANDINSVILLE

State

Zip

61420

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/04/2022