PHYLLIS J SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041331326

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

SMITH

Business Name

PHYLLIS J SMITH

Original Issue Date

08/12/2002

Effective Date

08/12/2002

Expiration Date

05/31/2004

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006