PHYLLIS J DENTINGER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075888

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

DENTINGER

Business Name

PHYLLIS J DENTINGER

Original Issue Date

11/12/1953

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012