PHYLLIS LEIDY - Registered Nurse License in Illinois | # 041123274

PHYLLIS LEIDY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123274

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

LEIDY

Business Name

PHYLLIS LEIDY

Original Issue Date

10/02/1967

Effective Date

05/04/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021