PHYLLIS H RANDOLPH - Registered Nurse License in Illinois | # 041135845

PHYLLIS H RANDOLPH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135845

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006