PHYLLIS I TENNANT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041039967

License Status

INACTIVE

Business

First Name

PHYLLIS I

Last Name

TENNANT

Business Name

PHYLLIS I TENNANT

Original Issue Date

10/21/1940

Effective Date

10/21/1940

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006