PHYLLIS M LUNDHOLM - Registered Nurse License in Illinois | # 041103840

PHYLLIS M LUNDHOLM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103840

License Status

INACTIVE

Business

N

First Name

PHYLLIS M

Last Name

LUNDHOLM

Business Name

PHYLLIS M LUNDHOLM

Original Issue Date

10/02/1962

Effective Date

10/02/1962

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006