PHYLLIS I LANE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099203

License Status

INACTIVE

Business

First Name

PHYLLIS I

Last Name

LANE

Business Name

PHYLLIS I LANE

Original Issue Date

01/31/1961

Effective Date

01/31/1961

Expiration Date

05/31/1996

City

FRUITLAND PARK

State

Zip

34731

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006