PHYLLIS J TACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134747

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

TACK

Business Name

PHYLLIS J TACK

Original Issue Date

03/10/1970

Effective Date

03/10/1970

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006