PHYLLIS JANE TOMBLIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146520

License Status

INACTIVE

Business

First Name

PHYLLIS JANE

Last Name

TOMBLIN

Business Name

PHYLLIS JANE TOMBLIN

Original Issue Date

11/02/1972

Effective Date

11/02/1972

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006