PHYLLIS R ANDERSON - Registered Nurse License in Illinois | # 041114686

PHYLLIS R ANDERSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114686

License Status

INACTIVE

Business

N

First Name

PHYLLIS R

Last Name

ANDERSON

Business Name

PHYLLIS R ANDERSON

Original Issue Date

10/04/1965

Effective Date

05/10/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2012