PHYLLIS ANN VICKERS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139472

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANN

Last Name

VICKERS

Business Name

PHYLLIS ANN VICKERS

Original Issue Date

06/17/1971

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2022