PHYLLIS J RADCLIFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111043

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

RADCLIFF

Business Name

PHYLLIS J RADCLIFF

Original Issue Date

10/09/1964

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

UTICA

State

Zip

61373

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/08/2012