PHYLLIS R MARTIN - Registered Nurse License in Illinois | # 041145107

PHYLLIS R MARTIN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145107

License Status

INACTIVE

Business

N

First Name

PHYLLIS R

Last Name

MARTIN

Business Name

PHYLLIS R MARTIN

Original Issue Date

09/29/1972

Effective Date

09/29/1972

Expiration Date

05/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006