MICAH LANE PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116983

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

LANE

Last Name

PHILLIPS

Business Name

MICAH LANE PHILLIPS

Original Issue Date

01/01/1997

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021