PHYLLIS A DAVENPORT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041070327

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

DAVENPORT

Business Name

PHYLLIS A DAVENPORT

Original Issue Date

11/05/1951

Effective Date

11/05/1951

Expiration Date

05/31/2002

City

SHELDON

State

Zip

60966

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006