PHYLLIS M DECKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130545

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

DECKER

Business Name

PHYLLIS M DECKER

Original Issue Date

04/04/1969

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

FLAT ROCK

State

Zip

62427

County

CRAWFORD

Ever Disciplined

LastModifiedDate

07/10/2012