PHYLLIS T PENCE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052782

License Status

INACTIVE

Business

First Name

PHYLLIS T

Last Name

PENCE

Business Name

PHYLLIS T PENCE

Original Issue Date

01/08/1946

Effective Date

01/08/1946

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006