PHYLLIS STAFFORD - Registered Nurse License in Illinois | # 041143250

PHYLLIS STAFFORD

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143250

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

STAFFORD

Business Name

PHYLLIS STAFFORD

Original Issue Date

03/27/1972

Effective Date

03/27/1972

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006