PHYLLIS S JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112412

License Status

INACTIVE

Business

First Name

PHYLLIS S

Last Name

JOHNSON

Business Name

PHYLLIS S JOHNSON

Original Issue Date

11/25/1964

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

HENDERSON

State

Zip

61439

County

KNOX

Ever Disciplined

LastModifiedDate

03/06/2014