PHYLLIS A DICKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041083041

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

DICKS

Business Name

PHYLLIS A DICKS

Original Issue Date

12/20/1955

Effective Date

12/20/1955

Expiration Date

05/31/1996

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006