PHYLLIS J HASLEM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124713

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

HASLEM

Business Name

PHYLLIS J HASLEM

Original Issue Date

01/05/1968

Effective Date

01/05/1968

Expiration Date

05/31/2008

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2008