PHYLLIS ANN WALDECKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041443638

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

ANN

Last Name

WALDECKER

Business Name

PHYLLIS ANN WALDECKER

Original Issue Date

07/21/2016

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

RISING FAWN

State

Zip

30738

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/14/2021