PHYLLIS K SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075056

License Status

NOT RENEWED

Business

First Name

PHYLLIS K

Last Name

SMITH

Business Name

PHYLLIS K SMITH

Original Issue Date

05/06/1953

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/11/2016