PHYLLIS B GARDNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041093343

License Status

NOT RENEWED

Business

First Name

PHYLLIS B

Last Name

GARDNER

Business Name

PHYLLIS B GARDNER

Original Issue Date

04/15/1959

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021