PHYLLIS J LONGMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071203

License Status

NOT RENEWED

Business

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

City

HENRY

State

Zip

61537

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006