PHYLLIS M GROENEWOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058901

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

GROENEWOLD

Business Name

PHYLLIS M GROENEWOLD

Original Issue Date

01/01/1997

Expiration Date

05/31/1988

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006