PHYLLIS M BAUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041089844

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

BAUM

Business Name

PHYLLIS M BAUM

Original Issue Date

04/01/1958

Effective Date

04/01/1958

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006