PHYLLIS F DORNBERGER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111693

License Status

INACTIVE

Business

First Name

PHYLLIS F

Last Name

DORNBERGER

Business Name

PHYLLIS F DORNBERGER

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/11/2008