PHYLLIS W FORT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096976

License Status

INACTIVE

Business

First Name

PHYLLIS W

Last Name

FORT

Business Name

PHYLLIS W FORT

Original Issue Date

08/22/1960

Effective Date

08/22/1960

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006