PHYLLIS FORDE GITTENS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196444

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

FORDE

Last Name

GITTENS

Business Name

PHYLLIS FORDE GITTENS

Original Issue Date

09/15/1980

Effective Date

09/15/1980

Expiration Date

05/31/1984

City

DANBURY

State

Zip

06811

Ever Disciplined

LastModifiedDate

09/27/2006