PHYLLIS A ELLERBUSCH - Registered Nurse License in Illinois | # 041102876

PHYLLIS A ELLERBUSCH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102876

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

ELLERBUSCH

Business Name

PHYLLIS A ELLERBUSCH

Original Issue Date

04/02/1962

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2010