PHYLLIS M LUNDHOLM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103840

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

LUNDHOLM

Business Name

PHYLLIS M LUNDHOLM

Original Issue Date

10/02/1962

Effective Date

10/02/1962

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/27/2006