PHYLLIS A KIPP - Registered Nurse License in Illinois | # 041114891

PHYLLIS A KIPP

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114891

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

KIPP

Business Name

PHYLLIS A KIPP

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