PHYLLIS J TACK - Registered Nurse License in Illinois | # 041134747

PHYLLIS J TACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134747

License Status

INACTIVE

Business

N

First Name

PHYLLIS J

Last Name

TACK

Business Name

PHYLLIS J TACK

Original Issue Date

03/10/1970

Effective Date

03/10/1970

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006