PHYLLIS T HEAFNER - Registered Nurse License in Illinois | # 041107602

PHYLLIS T HEAFNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107602

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS T

Last Name

HEAFNER

Business Name

PHYLLIS T HEAFNER

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006