PHYLLIS H RANDOLPH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135845

License Status

INACTIVE

Business

First Name

PHYLLIS H

Last Name

RANDOLPH

Business Name

PHYLLIS H RANDOLPH

Original Issue Date

08/26/1970

Effective Date

08/26/1970

Expiration Date

05/31/1992

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006