PHYLLIS J POWELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041066596

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

POWELL

Business Name

PHYLLIS J POWELL

Original Issue Date

04/04/1950

Effective Date

04/04/1950

Expiration Date

05/31/1986

City

GRAND RIDGE

State

Zip

61325

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006