PHYLLIS A SHUBERT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117142

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

SHUBERT

Business Name

PHYLLIS A SHUBERT

Original Issue Date

03/09/1966

Effective Date

04/26/2010

Expiration Date

05/31/2012

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Ever Disciplined

LastModifiedDate

07/10/2012