PHYLLIS M DATTOMO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112967

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

DATTOMO

Business Name

PHYLLIS M DATTOMO

Original Issue Date

01/29/1965

Effective Date

01/29/1965

Expiration Date

05/31/1992

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006