PHYLLIS J RIDER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041066211

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

RIDER

Business Name

PHYLLIS J RIDER

Original Issue Date

01/20/1950

Effective Date

01/20/1950

City

PALM BAY

State

Zip

32905

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006