PHYLLIS JEANNE BODEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041050366

License Status

INACTIVE

Business

First Name

PHYLLIS JEANNE

Last Name

BODEN

Business Name

PHYLLIS JEANNE BODEN

Original Issue Date

01/08/1945

Effective Date

01/08/1945

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006