PHYLLIS A STAPLETON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041118343

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

STAPLETON

Business Name

PHYLLIS A STAPLETON

Original Issue Date

09/01/1966

Effective Date

09/01/1966

Expiration Date

05/31/2006

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006