PHYLLIS M GORRELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099202

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

GORRELL

Business Name

PHYLLIS M GORRELL

Original Issue Date

01/31/1961

Effective Date

01/31/1961

Expiration Date

05/31/1992

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006