PHYLLIS A FERGUSON - Registered Nurse License in Illinois | # 041146968

PHYLLIS A FERGUSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146968

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

FERGUSON

Business Name

PHYLLIS A FERGUSON

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008