PHYLLIS LILIAN LEACOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187165

License Status

INACTIVE

Business

First Name

PHYLLIS LILIAN

Last Name

LEACOCK

Business Name

PHYLLIS LILIAN LEACOCK

Original Issue Date

04/19/1979

Effective Date

04/19/1979

Expiration Date

05/31/2008

City

CELEBRATION

State

Zip

34747

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/11/2008