PHYLLIS A VANDERBILT - Registered Nurse License in Illinois | # 041084400

PHYLLIS A VANDERBILT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084400

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

VANDERBILT

Business Name

PHYLLIS A VANDERBILT

Original Issue Date

05/16/1956

Effective Date

05/16/1956

Expiration Date

05/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006