PHYLLIS L EGGLESTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

EGGLESTON

Business Name

PHYLLIS L EGGLESTON

Original Issue Date

01/20/2021

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

11/15/2025