PHYLLIS B PENCE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099102

License Status

INACTIVE

Business

First Name

PHYLLIS B

Last Name

PENCE

Business Name

PHYLLIS B PENCE

Original Issue Date

01/26/1961

Effective Date

01/26/1961

Expiration Date

05/31/2004

City

WARSAW

State

Zip

62379

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/09/2006