PHYLLIS A ORTMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130962

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

ORTMAN

Business Name

PHYLLIS A ORTMAN

Original Issue Date

05/22/1969

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

03/05/2010