PHYLLIS S HACKMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041068122

License Status

INACTIVE

Business

First Name

PHYLLIS S

Last Name

HACKMAN

Business Name

PHYLLIS S HACKMAN

Original Issue Date

11/13/1950

Effective Date

11/13/1950

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006