PHYLLIS A SHIDAKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076501

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

SHIDAKER

Business Name

PHYLLIS A SHIDAKER

Original Issue Date

12/17/1953

Effective Date

12/17/1953

City

STREAMWOOD

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006