PHYLLIS A SHIDAKER - Registered Nurse License in Illinois | # 041076501

PHYLLIS A SHIDAKER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076501

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

SHIDAKER

Business Name

PHYLLIS A SHIDAKER

Original Issue Date

12/17/1953

Effective Date

12/17/1953

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006