VERYL BEAN PHILY SHORT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041065469

License Status

INACTIVE

Business

First Name

VERYL BEAN PHILY

Last Name

SHORT

Business Name

VERYL BEAN PHILY SHORT

Original Issue Date

11/28/1949

Effective Date

11/28/1949

Expiration Date

05/31/1996

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006