MICAH LANE PHILLIPS - Registered Nurse License in Illinois | # 041116983

MICAH LANE PHILLIPS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116983

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021