PHYLLIS L LAVENAU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041088165

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

LAVENAU

Business Name

PHYLLIS L LAVENAU

Original Issue Date

11/12/1957

Effective Date

11/12/1957

Expiration Date

05/31/2002

City

DOWNERS GROVE

State

Zip

60516

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006