PHYLLIS J LONGMAN - Registered Nurse License in Illinois | # 041071203

PHYLLIS J LONGMAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071203

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS J

Last Name

LONGMAN

Business Name

PHYLLIS J LONGMAN

Original Issue Date

01/23/1952

Effective Date

01/23/1952

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006